UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES NPI 1003947599

NPI Information

UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES is a pediatric dentistry dentist in Indianapolis, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES NPI is 1003947599. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

705 RILEY HOSPITAL DR
ROC - SUITE 4205
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-9604
Fax: (317) 948-0760

The provider's authorized official is Brian J Sanders .
The authorized official title is President and has the following contact phone number (317) 944-9604.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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