Individual provider · Type 1 NPI

Chase Thomas Gundersen, DMD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1114854858 Active

Practice location

550 University Blvd Ste 3145
Indianapolis, IN 46202-5149

Call (317) 274-5315 Map

Mailing address

868 W 4230 N
Pleasant Grove, UT 84062-8737

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X12014966A (IN)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114854858

Chase Thomas Gundersen, DMD's National Provider Identifier is 1114854858, issued on May 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 6, 2026.