Individual provider · Type 1 NPI
Vinicius Dutra, DDS
Oral and Maxillofacial Radiology Dentistry · Indianapolis, IN
Practice location
1121 W Michigan St
Indianapolis, IN 46202-5211
Fax (317) 274-2603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Radiology Dentistry Primary | 1223X0008X | 98000992A (IN) |
Oral and Maxillofacial Radiology Dentistry: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
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About NPI 1265091029
Vinicius Dutra, DDS's National Provider Identifier is 1265091029, issued on Jun 6, 2019. The primary taxonomy on file is Oral and Maxillofacial Radiology Dentistry (1223X0008X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 4, 2026.