| Hendricks Pediatric Dentistry, Llc | |
|
1557 Windview Brownsburg IN 46112-7641 | |
| (502) 314-3330 | |
| Not Available |
| Full Name | Hendricks Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1557 Windview, Brownsburg, Indiana |
| Authorized Official Name and Position | Andrea Shelton (DENTIST) |
| Authorized Official Contact | 5023143330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hendricks Pediatric Dentistry, Llc 1557 Windview Brownsburg IN 46112-7641 Ph: () - | Hendricks Pediatric Dentistry, Llc 1557 Windview Brownsburg IN 46112-7641 Ph: (502) 314-3330 |
| NPI Number | 1265074710 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 10/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265074710 | NPI | - | NPPES |
| 12012911A | Other | IN | IN DENTAL LICENSE |
| 1194160267 | Other | NPI TYPE 1 | |
| 201375550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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