EAST 53RD STREET DENTAL-2 P.C. NPI 1881778801

NPI Information

EAST 53RD STREET DENTAL-2, P.C. 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. EAST 53RD STREET DENTAL-2, P.C. NPI is 1881778801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kool Smiles Ini-2,pc.

The provider's business location address is:

2248 E 53RD ST
INDIANAPOLIS, IN
ZIP 46220-479
Phone: (317) 472-9888
Fax: (317) 257-7028

The provider's authorized official is David Vieth .
The authorized official title is Chief Dental Officer and has the following contact phone number (770) 916-9000.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 5/13/2019.

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:

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