W Michael Princell DDS PC

NPI #1053459545 in Indpls, Indiana

Provider Information

NPI Number: 1053459545
Entity Type: Organization
Organization Name: W Michael Princell DDS PC
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 7207 N SHADELAND AVE
Address 2: SUITE A
City: Indpls
State: Indiana
ZIP Code: 46250
Phone: (317) 577-2478

Authorized Official

Name: MRS. MARTINA G PRINCELL, RN
Title: OFFICE ADMIN
Phone: (317) 577-2478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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