DR. John Russell Phelps III, D.D.S., M.S.D.
NPI #1093786147 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1093786147
- Entity Type
- Individual
- Name
- DR. John Russell Phelps III, D.D.S., M.S.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Prosthodontics
- Credential
- D.D.S., M.S.D.
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Nov 6, 2007
Practice Location
- Address
- 9011 N MERIDIAN ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46260-5301
- Phone
- (317) 818-9858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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