Organization · Type 2 NPI

Indy East Periodontics PC

Periodontics · Indianapolis, IN

NPI number 1164726832 Active

Practice location

115 N Shortridge Rd Ste 100
Indianapolis, IN 46219-4917

Call (317) 357-2235 Map

Fax (317) 357-2210

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1164726832

Indy East Periodontics PC's National Provider Identifier is 1164726832, issued on Jan 10, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 10, 2011.