| Broad Ripple Dental Arts Llc | |
|
6545 Carrollton Ave Indianapolis IN 46220-1787 | |
| (317) 251-1333 | |
| Not Available |
| Full Name | Broad Ripple Dental Arts Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6545 Carrollton Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Wayne T Kinney (OWNER) |
| Authorized Official Contact | 3175751120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Ripple Dental Arts Llc 6545 Carrollton Ave Indianapolis IN 46220-1787 Ph: (317) 251-1333 | Broad Ripple Dental Arts Llc 6545 Carrollton Ave Indianapolis IN 46220-1787 Ph: (317) 251-1333 |
| NPI Number | 1316605983 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316605983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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