Dental Professionals of Indiana, PC

NPI #1215306790 in Shelbyville, Indiana

Provider Information

NPI Number
1215306790
Entity Type
Organization
Organization Name
Dental Professionals of Indiana, PC
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL PROFESSIONALS OF INDIANA, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 15, 2015
Last Updated
Sep 15, 2015

Practice Location

Address
1828 E STATE ROAD 44
Address 2
SUITE 300
State
Indiana
ZIP Code
46176-1814
Phone
(317) 671-8043

Authorized Official

Name
KENDRA WALKER
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-8312

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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