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ZIONSVILLE PEDIATRIC DENTISTRY NPI 1972704716


NPI Information

NPI: 1972704716
Provider Name: ZIONSVILLE PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
55 BRENDON WAY
SUITE 500
ZIONSVILLE, IN
ZIP 46077
Phone: (317) 873-4186
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ZIONSVILLE PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Zionsville, 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. ZIONSVILLE PEDIATRIC DENTISTRY NPI is 1972704716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 BRENDON WAY
SUITE 500
ZIONSVILLE, IN
ZIP 46077-961
Phone: (317) 873-4186
Fax: (317) 873-1034

The provider's authorized official is Melissa Annekeffer Mchenry .
The authorized official title is President and has the following contact phone number (317) 873-4186.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry12010176AINDIANAYes

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: 5/5/2024

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