Organization · Type 2 NPI
Indy East Dental LLC
Dental Clinic/Center · Indianapolis, IN
NPI number
1154057461
Active
Practice location
973 N Shadeland Ave
Indianapolis, IN 46219-4809
Mailing address
360 E Market St Apt 2002
Indianapolis, IN 46204-2961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1154057461
Indy East Dental LLC's National Provider Identifier is 1154057461, issued on Jul 28, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 28, 2022.