| Familia Dental | |
|
4740 W. 38th St. Indianapolis IN 46254-3318 | |
| (317) 315-1251 | |
| (317) 757-3318 |
| Full Name | Familia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4740 W. 38th St., Indianapolis, Indiana |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATION MANA) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental 4740 W. 38th St. Indianapolis IN 46254-3318 Ph: (317) 315-1251 |
| NPI Number | 1568999241 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568999241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011918A (Indiana) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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