Image Dental | |
11711 N Pennsylvania St Suite 114 Carmel IN 46032-6959 | |
(317) 816-0841 | |
(317) 816-0859 |
Full Name | Image Dental |
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Speciality | Dentist - General Practice |
Location | 11711 N Pennsylvania St, Carmel, Indiana |
Authorized Official Name and Position | Amy L Evans (OWNER/DOCTOR) |
Authorized Official Contact | 3178160841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Image Dental 11711 N Pennsylvania St Suite 114 Carmel IN 46032-6959 Ph: (317) 816-0841 | Image Dental 11711 N Pennsylvania St Suite 114 Carmel IN 46032-6959 Ph: (317) 816-0841 |
NPI Number | 1417129966 |
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Provider Enumeration Date | 03/25/2008 |
Last Update Date | 03/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417129966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12010149 (Indiana) | Primary |
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