Lifetime Dental Care of Indiana, PC

NPI #1699987545 in Fishers, Indiana

Provider Information

NPI Number: 1699987545
Entity Type: Organization
Organization Name: Lifetime Dental Care of Indiana, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 11681 BROOKS SCHOOL ROAD
Address 2: SUITE 2
City: Fishers
State: Indiana
ZIP Code: 46038
Phone: (317) 913-9694

Authorized Official

Name: AMY KROEGER
Title: INS COOD
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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