Individual provider · Type 1 NPI
Margot L. Van Dis, DDS
Oral and Maxillofacial Radiology Dentistry · Indianapolis, IN
Practice location
1121 W Michigan St
Indianapolis, IN 46202-5211
Fax (317) 278-3018
Mailing address
7315 Wood Stream Dr
Indianapolis, IN 46254-9619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Radiology Dentistry Primary | 1223X0008X | 12009292 (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 1396878799
Margot L. Van Dis, DDS's National Provider Identifier is 1396878799, issued on Mar 14, 2007. 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 Jul 8, 2007.