| Comdent, Pc | |
|
4200 S East St Suite A-14 Indianapolis IN 46227-1534 | |
| (317) 783-9993 | |
| (317) 783-9999 |
| Full Name | Comdent, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4200 S East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Stephen Scott Hall (OWNER/PRESIDENT OF COMDENT, PC) |
| Authorized Official Contact | 3177839993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comdent, Pc 4200 S East St Suite A-14 Indianapolis IN 46227-1534 Ph: (317) 783-9993 | Comdent, Pc 4200 S East St Suite A-14 Indianapolis IN 46227-1534 Ph: (317) 783-9993 |
| NPI Number | 1295128213 |
|---|---|
| Provider Enumeration Date | 03/16/2015 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295128213 | NPI | - | NPPES |
| 200202580A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009719 (Indiana) | Primary |
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