| Dr J Pediatric Dentistry Llc | |
|
10820 Pendleton Pike Ste B Indianapolis IN 46236-2952 | |
| (317) 938-1181 | |
| Not Available |
| Full Name | Dr J Pediatric Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10820 Pendleton Pike Ste B, Indianapolis, Indiana |
| Authorized Official Name and Position | Juan Fernando Yepes (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3179381181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Pediatric Dentistry Llc 10820 Pendleton Pike Ste B Indianapolis IN 46236-2952 Ph: (317) 938-1181 | Dr J Pediatric Dentistry Llc 10820 Pendleton Pike Ste B Indianapolis IN 46236-2952 Ph: (317) 938-1181 |
| NPI Number | 1629522289 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629522289 | NPI | - | NPPES |
| 60003191 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12012166A (Indiana) | Primary |
Louly Dentistry, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11530 E Washington Street, Indianapolis, IN 46229 Phone: 317-869-0000 Fax: 317-869-0233 | |
Jamestowne Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6249 S East St, Suite J, Indianapolis, IN 46227 Phone: 317-789-1000 | |
Holland Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3935 Eagle Creek Pkwy Ste A, Indianapolis, IN 46254 Phone: 317-291-1000 | |
John M. Porter Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8202 Clearvista Pkwy, Building 5 Suite B, Indianapolis, IN 46256 Phone: 317-842-6333 | |
University Pediatric Dentistry Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Roc - Suite 4205, Indianapolis, IN 46202 Phone: 317-944-9604 Fax: 317-948-0760 | |
Castleton General & Implant Dentistry Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 6535 E 82nd St, Suite 211, Indianapolis, IN 46250 Phone: 317-849-3597 Fax: 317-913-0641 | |
Thoman Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 E Stop 11 Rd Ste A, Indianapolis, IN 46237 Phone: 317-865-1300 |