| Image Dental | |
|
11711 N Pennsylvania St Carmel IN 46032-6959 | |
| (317) 816-0841 | |
| Not Available |
| Full Name | Image Dental |
|---|---|
| Speciality | Dentist |
| Location | 11711 N Pennsylvania St, Carmel, Indiana |
| Authorized Official Name and Position | Jody Wilson (DENTIST/OWNER) |
| Authorized Official Contact | 3175518040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image Dental 11711 N Pennsylvania St Carmel IN 46032-6959 Ph: (317) 816-0841 | Image Dental 11711 N Pennsylvania St Carmel IN 46032-6959 Ph: (317) 816-0841 |
| NPI Number | 1922530823 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922530823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012331A (Indiana) | Primary |
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