| NPI | 1689790552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA D FOSTER Assistant Director Of Revenue Cycle 317-278-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0300X Dentist Periodontics | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 1223X2210X Dentist Orofacial Pain | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-02-24 |