| Fishers Family Dentistry, Pc | |
|
8410 E 116th Str. Fishers IN 46038 | |
| (317) 576-0611 | |
| (317) 576-0705 |
| Full Name | Fishers Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8410 E 116th Str., Fishers, Indiana |
| Authorized Official Name and Position | Laura L Cordray (OFFICE MANAGER) |
| Authorized Official Contact | 3175760611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fishers Family Dentistry, Pc 8410 E 116th Str. Fishers IN 46038 Ph: (317) 576-0611 | Fishers Family Dentistry, Pc 8410 E 116th Str. Fishers IN 46038 Ph: (317) 576-0611 |
| NPI Number | 1861611568 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861611568 | NPI | - | NPPES |
| 100126190A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008767 (Indiana) | Primary |
| 1223G0001X | Dentist - General Practice | 12009885 (Indiana) | Secondary |
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