| General Dentist | |
|
3945 Eagle Creek Parkway Suite A Indianapolis IN 46254-4691 | |
| (317) 293-3000 | |
| (317) 293-6773 |
| Full Name | General Dentist |
|---|---|
| Speciality | Dentist |
| Location | 3945 Eagle Creek Parkway Suite A, Indianapolis, Indiana |
| Authorized Official Name and Position | Don M Newman (OWNER DENTIST) |
| Authorized Official Contact | 3172933000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Dentist 3945 Eagle Creek Parkway Suite A Indianapolis IN 46254-4691 Ph: (317) 293-3000 | General Dentist 3945 Eagle Creek Parkway Suite A Indianapolis IN 46254-4691 Ph: (317) 293-3000 |
| NPI Number | 1447323894 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447323894 | NPI | - | NPPES |
| 461261 | Other | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010178A (Indiana) | Primary |
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