INDIANAPOLIS PEDIATRIC DENTISTRY LLC NPI 1205224433

NPI Information

INDIANAPOLIS PEDIATRIC DENTISTRY LLC 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. INDIANAPOLIS PEDIATRIC DENTISTRY LLC NPI is 1205224433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8433 HARCOURT RD
SUITE 307
INDIANAPOLIS, IN
ZIP 46260-190
Phone: (317) 872-7272

The provider's authorized official is Erin Fuson Phillips .
The authorized official title is Member and has the following contact phone number (317) 872-7272.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/22/2014.

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:

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