| Gentle Dentist | |
|
6225 W 56th St Suite 100 Indianapolis IN 46254-7603 | |
| (317) 293-3300 | |
| (317) 293-3437 |
| Full Name | Gentle Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6225 W 56th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Kim Harris (OWNER) |
| Authorized Official Contact | 3172733300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dentist 6740 Eagle Pointe Dr S Apt 1f Indianapolis IN 46254-4423 Ph: () - | Gentle Dentist 6225 W 56th St Suite 100 Indianapolis IN 46254-7603 Ph: (317) 293-3300 |
| NPI Number | 1336218601 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336218601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009550 (Indiana) | Primary |
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