| Advanced Endocare | |
|
13590 B North Meridian St Suite 104 Carmel IN 46032 | |
| (317) 848-7778 | |
| (317) 571-8368 |
| Full Name | Advanced Endocare |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 13590 B North Meridian St, Carmel, Indiana |
| Authorized Official Name and Position | Kathryn Godwin Stuart (OWNER/PRESIDENT OF ADVANCED ENDOCAR) |
| Authorized Official Contact | 3178487778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endocare 13590 B North Meridian St Suite 104 Carmel IN 46032 Ph: (317) 848-7778 | Advanced Endocare 13590 B North Meridian St Suite 104 Carmel IN 46032 Ph: (317) 848-7778 |
| NPI Number | 1174625222 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174625222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12008500 (Indiana) | Primary |
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