Organization · Type 2 NPI
Everest Dental LLC
Dental Clinic/Center · Indianapolis, IN
NPI number
1306364252
Active
Practice location
6326 Rucker Rd Ste B
Indianapolis, IN 46220-4861
Mailing address
610 Cottage Ave
Indianapolis, IN 46203-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 12012466A (IN) |
Dental Clinic/Center: Definition to come...
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About NPI 1306364252
Everest Dental LLC's National Provider Identifier is 1306364252, issued on Aug 30, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 30, 2017.