Plainfield Park Pediatric Dentistry
NPI #1366291056 in Plainfield, Indiana
Provider Information
- NPI Number
- 1366291056
- Entity Type
- Organization
- Organization Name
- Plainfield Park Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 15, 2024
- Last Updated
- May 21, 2024
Practice Location
- Address
- 6100 CLARKS CREEK RD STE 102
- City
- Plainfield
- State
- Indiana
- ZIP Code
- 46168-8767
- Phone
- (317) 900-1665
Authorized Official
- Name
- LESA ALLISON, DDS, MSD
- Title
- OWNER
- Phone
- (317) 900-1665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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