| Healthy Kids First | |
|
5963 Calais Ct Indianapolis IN 46220-6004 | |
| (317) 562-1260 | |
| (317) 562-1356 |
| Full Name | Healthy Kids First |
|---|---|
| Speciality | Dentist |
| Location | 5963 Calais Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffrey L Jordan (DENTIST) |
| Authorized Official Contact | 3172545601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Kids First 5963 Calais Ct Indianapolis IN 46220-6004 Ph: (317) 562-1260 | Healthy Kids First 5963 Calais Ct Indianapolis IN 46220-6004 Ph: (317) 562-1260 |
| NPI Number | 1861657579 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861657579 | NPI | - | NPPES |
| 200246650 | Other | IN | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008913 (Indiana) | Primary |
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