| Eagle Creek Dentistry, Llc | |
|
5685 Lafayette Rd Suite 100 Indianapolis IN 46254-6170 | |
| (317) 295-1000 | |
| (317) 295-1005 |
| Full Name | Eagle Creek Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5685 Lafayette Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Preetinderjit Singh (DOCTOR/ OWNER) |
| Authorized Official Contact | 3172951000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Creek Dentistry, Llc 5685 Lafayette Rd Suite 100 Indianapolis IN 46254-6170 Ph: (317) 295-1000 | Eagle Creek Dentistry, Llc 5685 Lafayette Rd Suite 100 Indianapolis IN 46254-6170 Ph: (317) 295-1000 |
| NPI Number | 1871923433 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 11/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871923433 | NPI | - | NPPES |
| 200277940A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009533 (Indiana) | Primary |
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