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MERIDIAN STREET PERIODONTICS LLC NPI 1518470897


NPI Information

NPI: 1518470897
Provider Name: MERIDIAN STREET PERIODONTICS, LLC

Doing Business As: IMPLANT DENTISTRY AND PERIODONTICS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
8801 N MERIDIAN ST STE 103
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 574-0600
Get Directions

MERIDIAN STREET PERIODONTICS, LLC is a periodontics dentist in Indianapolis, IN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. MERIDIAN STREET PERIODONTICS, LLC NPI is 1518470897. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Implant Dentistry And Periodontics.

The provider's business location address is:

8801 N MERIDIAN ST STE 103
INDIANAPOLIS, IN
ZIP 46260-353
Phone: (317) 574-0600
Fax: (317) 574-0606

The provider's authorized official is Ashley Thurman .
The authorized official title is Office Manager and has the following contact phone number (317) 842-8453.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 11/9/2017.


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
11223P0300XDentistPeriodontics12010349AINDIANAYes

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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