Brownsburg Dental Group Pc | |
20 E Airport Rd Suite 1100 Brownsburg IN 46112-2046 | |
(317) 852-1446 | |
(317) 852-1449 |
Full Name | Brownsburg Dental Group Pc |
---|---|
Speciality | Dentist |
Location | 20 E Airport Rd, Brownsburg, Indiana |
Authorized Official Name and Position | Gary Friedman (OWNER PRESIDENT) |
Authorized Official Contact | 3178521446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brownsburg Dental Group Pc 20 E Airport Rd Suite 1100 Brownsburg IN 46112-2046 Ph: (317) 852-1446 | Brownsburg Dental Group Pc 20 E Airport Rd Suite 1100 Brownsburg IN 46112-2046 Ph: (317) 852-1446 |
NPI Number | 1316051600 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 09/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316051600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12009280 (Indiana) | Secondary |
122300000X | Dentist | 12010164A (Indiana) | Primary |
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