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INDY DENTAL GROUP WC INC. NPI 1568557338


NPI Information

NPI: 1568557338
Provider Name: INDY DENTAL GROUP WC, INC.

Former Legal Business Name: JACK M. & ELIZABETH B. MILLER, LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12720 MEETING HOUSE RD
CARMEL, IN
ZIP 46032
Phone: (317) 571-1900
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INDY DENTAL GROUP WC, INC. is a general practice dentist in Carmel, 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 WC, INC. NPI is 1568557338. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Jack M. & Elizabeth B. Miller, Llc.

The provider's business location address is:

12720 MEETING HOUSE RD
CARMEL, IN
ZIP 46032-334
Phone: (317) 571-1900
Fax: (317) 569-9695

The provider's authorized official is Elzabeth 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 10/4/2006 and was last updated on 1/1/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12009479INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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