| Crossroads Dsm Llc | |
|
3750 Guion Rd Ste 280 Indianapolis IN 46222-1696 | |
| (765) 335-6694 | |
| Not Available |
| Full Name | Crossroads Dsm Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3750 Guion Rd Ste 280, Indianapolis, Indiana |
| Authorized Official Name and Position | Clayton Thomas Craig (CEO) |
| Authorized Official Contact | 7653356694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dsm Llc 3750 Guion Rd Ste 280 Indianapolis IN 46222-1696 Ph: (765) 336-6694 | Crossroads Dsm Llc 3750 Guion Rd Ste 280 Indianapolis IN 46222-1696 Ph: (765) 335-6694 |
| NPI Number | 1215406053 |
|---|---|
| Provider Enumeration Date | 11/23/2018 |
| Last Update Date | 11/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215406053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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