Dental Oasis, P.c. | |
5957 W Broadway Mc Cordsville IN 46055-9355 | |
(317) 402-8521 | |
Not Available |
Full Name | Dental Oasis, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 5957 W Broadway, Mc Cordsville, Indiana |
Authorized Official Name and Position | Kelli Ann Larrabee-dewell (PRESIDENT/DENTIST) |
Authorized Official Contact | 3174028521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Oasis, P.c. 5957 W Broadway Mc Cordsville IN 46055-9355 Ph: (317) 402-8521 | Dental Oasis, P.c. 5957 W Broadway Mc Cordsville IN 46055-9355 Ph: (317) 402-8521 |
NPI Number | 1861782120 |
---|---|
Provider Enumeration Date | 04/07/2011 |
Last Update Date | 04/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861782120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12010860A (Indiana) | Primary |