Organization · Type 2 NPI

Jack E Nicewander

Dental Clinic/Center · Indianapolis, IN

NPI number 1689067928 Active

Practice location

5511 E 82nd St, Ste F
Indianapolis, IN 46250-4698

Call (317) 842-1903 Map

Fax (317) 849-8054

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X12007501A (IN)

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1689067928

Jack E Nicewander's National Provider Identifier is 1689067928, issued on Mar 11, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 6, 2015.