Dental Professionals of Indiana, P.c.

NPI #1487497467 in Westfield, Indiana

Provider Information

NPI Number: 1487497467
Entity Type: Organization
Organization Name: Dental Professionals of Indiana, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF INDIANA, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 17, 2024
Last Updated: Jun 17, 2024

Practice Location

Address: 249 W TOURNAMENT TRL
City: Westfield
State: Indiana
ZIP Code: 46074-6223
Phone: (463) 622-2060

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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