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14139 Town Center Blvd Ste 200 Noblesville IN 46060-3368 | |
| (317) 773-9992 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14139 Town Center Blvd Ste 200, Noblesville, Indiana |
| Authorized Official Name and Position | Matthew T Sullivan (DENTIST-PARTNER) |
| Authorized Official Contact | 3177974118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2495 Trotters Chase Shelbyville IN 46176-8873 Ph: () - | 14139 Town Center Blvd Ste 200 Noblesville IN 46060-3368 Ph: (317) 773-9992 |
| NPI Number | 1366982027 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366982027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Indiana) | Primary |
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