| Immediadent | |
|
6150 E 82nd St # 100 Indianapolis IN 46250-1500 | |
| (913) 428-1684 | |
| Not Available |
| Full Name | Immediadent |
|---|---|
| Speciality | Dentist |
| Location | 6150 E 82nd St # 100, Indianapolis, Indiana |
| Authorized Official Name and Position | Jacquelynn R Adkins (SR. ACCOUNTING MANAGER) |
| Authorized Official Contact | 9134281684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediadent Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 428-1686 | Immediadent 6150 E 82nd St # 100 Indianapolis IN 46250-1500 Ph: (913) 428-1684 |
| NPI Number | 1427583103 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427583103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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