Lifetime Dental Care of Indiana, PC
NPI #1053523159 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1053523159
- Entity Type
- Organization
- Organization Name
- Lifetime Dental Care of Indiana, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3915 SOUTH MADISON AVE
- Address 2
- SUITE 2
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46227
- Phone
- (317) 788-1001
Authorized Official
- Name
- AMY KROEGER
- Title
- INS COOD
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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