Alyssa B Stickley Dds, LLC

NPI #1013668433 in Danville, Indiana

Provider Information

NPI Number: 1013668433
Entity Type: Organization
Organization Name: Alyssa B Stickley Dds, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 18, 2022
Last Updated: Jan 18, 2022

Practice Location

Address: 23 S COUNTY ROAD 200 E
City: Danville
State: Indiana
ZIP Code: 46122-9317
Phone: (317) 850-2160

Authorized Official

Name: ALYSSA STICKLEY, DDS
Title: MANAGING MEMBER
Phone: (317) 850-2160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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