Individual provider · Type 1 NPI

John Russell Phelps Iii, DDS, M.S.D.

Prosthodontics · Indianapolis, IN

NPI number 1093786147 Active

Practice location

9011 N Meridian St
Indianapolis, IN 46260-5301

Call (317) 818-9858 Map

Fax (317) 818-1716

Mailing address

4609 Cranbrook Dr
Indianapolis, IN 46250-2434

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X12009486 (IN)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1093786147

John Russell Phelps Iii, DDS, M.S.D.'s National Provider Identifier is 1093786147, issued on Jan 27, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 6, 2007.