| Amanda L. Maize, Dmd, Llc | |
|
12904 Grand Blvd Carmel IN 46032-5256 | |
| (262) 749-4119 | |
| Not Available |
| Full Name | Amanda L. Maize, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12904 Grand Blvd, Carmel, Indiana |
| Authorized Official Name and Position | Amanda Maize (DENTIST) |
| Authorized Official Contact | 2627494119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda L. Maize, Dmd, Llc 12904 Grand Blvd Carmel IN 46032-5256 Ph: (262) 749-4119 | Amanda L. Maize, Dmd, Llc 12904 Grand Blvd Carmel IN 46032-5256 Ph: (262) 749-4119 |
| NPI Number | 1912557026 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912557026 | NPI | - | NPPES |
| 1063864601 | Other | IN | NPI TYPE 1 |
| 12012630A | Other | IN | IN DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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