| Dental Faculty Private Practice | |
|
1121 W Michigan St Room 285b Indianapolis IN 46202-5211 | |
| (317) 278-6946 | |
| (317) 274-6583 |
| Full Name | Dental Faculty Private Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1121 W Michigan St, Indianapolis, Indiana |
| Authorized Official Name and Position | Jill Allen (CLINIC ADMINSTRATOR) |
| Authorized Official Contact | 3172786946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Faculty Private Practice 1121 W Michigan St Room 285b Indianapolis IN 46202-5211 Ph: (317) 278-6946 | Dental Faculty Private Practice 1121 W Michigan St Room 285b Indianapolis IN 46202-5211 Ph: (317) 278-6946 |
| NPI Number | 1407996291 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 04/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407996291 | NPI | - | NPPES |
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