Provider Demographics
NPI:1386740280
Name:THE ATRIUM DENTAL CENTER, P.C.
Entity type:Organization
Organization Name:THE ATRIUM DENTAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-279-9767
Mailing Address - Street 1:1545 J ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-3839
Mailing Address - Country:US
Mailing Address - Phone:812-279-9767
Mailing Address - Fax:812-279-5971
Practice Address - Street 1:1545 J ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-3839
Practice Address - Country:US
Practice Address - Phone:812-279-9767
Practice Address - Fax:812-279-5971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008399A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty