NPI: 1366531196
Provider Name: INDY DENTAL GROUP 93RD, INC.
Former Legal Business Name: INDY DENTAL GROUP, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
9310 N MERIDIAN ST STE 200
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 846-6125
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INDY DENTAL GROUP 93RD, INC. is a general practice dentist in Indianapolis, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. INDY DENTAL GROUP 93RD, INC. NPI is 1366531196. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Indy Dental Group, Llc.
The provider's business location address is:
9310 N MERIDIAN ST STE 200
INDIANAPOLIS, IN
ZIP 46260-806
Phone: (317) 846-6125
Fax: (317) 846-6282
The provider's authorized official is Elizabeth B Lewis .
The authorized official title is Owner and has the following contact phone number (317) 571-1900.
The enumeration date for this NPI number is 10/12/2006 and was last updated on 1/1/2014.