| Carmel West Dentistry | |
|
3965 W 106th St Suite 100 Carmel IN 46032-7750 | |
| (317) 253-8631 | |
| (317) 876-9715 |
| Full Name | Carmel West Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3965 W 106th St, Carmel, Indiana |
| Authorized Official Name and Position | Nancy Z Halsema (PRESIDENT) |
| Authorized Official Contact | 3172538631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmel West Dentistry 3965 W 106th St Suite 100 Carmel IN 46032-7750 Ph: (317) 253-8631 | Carmel West Dentistry 3965 W 106th St Suite 100 Carmel IN 46032-7750 Ph: (317) 253-8631 |
| NPI Number | 1235410770 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 08/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235410770 | NPI | - | NPPES |
| 1043363971 | Other | IN | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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