| Indiana University School Of Dentistry | |
|
1121 W Michigan St Indianapolis IN 46202-5211 | |
| (317) 274-7433 | |
| Not Available |
| Full Name | Indiana University School Of Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1121 W Michigan St, Indianapolis, Indiana |
| Authorized Official Name and Position | Tina D Foster (ASSISTANT DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 3172783632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University School Of Dentistry 1121 W Michigan St Indianapolis IN 46202-5211 Ph: (317) 278-3632 | Indiana University School Of Dentistry 1121 W Michigan St Indianapolis IN 46202-5211 Ph: (317) 274-7433 |
| NPI Number | 1689790552 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 6002806957 |
|---|---|
| Medicare Enrollment ID | O20040602001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689790552 | NPI | - | NPPES |
| 100277260 | Medicaid | IN |
| Provider Name | Susan Lynn Zunt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245205392 PECOS PAC ID: 8022913516 Enrollment ID: I20031208000145 |
| Provider Name | John A Levon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215094628 PECOS PAC ID: 0648369744 Enrollment ID: I20071127000561 |
| Provider Name | Samuel A Tancredi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073783478 PECOS PAC ID: 5395818942 Enrollment ID: I20080716000050 |
| Provider Name | Lawrence I Goldblatt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255308011 PECOS PAC ID: 7214065929 Enrollment ID: I20100628001130 |
| Provider Name | Priya M Thomas |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669422127 PECOS PAC ID: 9537284856 Enrollment ID: I20100909001184 |
| Provider Name | Kyle J Kramer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184848095 PECOS PAC ID: 1658554779 Enrollment ID: I20110328000754 |
| Provider Name | Desmon A Brown |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1457554412 PECOS PAC ID: 5294904652 Enrollment ID: I20110802000151 |
| Provider Name | Paul Charles Edwards |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356334072 PECOS PAC ID: 5092896621 Enrollment ID: I20131119001255 |
| Provider Name | Tasha E Metzger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144665167 PECOS PAC ID: 4587803812 Enrollment ID: I20150421002246 |
| Provider Name | Angela Ritchie |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366741100 PECOS PAC ID: 0941588289 Enrollment ID: I20161020001950 |
| Provider Name | Waldemar D Polido |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1720529019 PECOS PAC ID: 5698046340 Enrollment ID: I20170731000820 |
| Provider Name | Pamela J Linder |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689963225 PECOS PAC ID: 3274790605 Enrollment ID: I20170922002821 |
| Provider Name | Phillip Wong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417331067 PECOS PAC ID: 1456612084 Enrollment ID: I20180222002438 |
| Provider Name | Shahin Taghikhan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861806507 PECOS PAC ID: 2365790631 Enrollment ID: I20180802000625 |
| Provider Name | Jan Slapnicka |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1396908422 PECOS PAC ID: 3173959798 Enrollment ID: I20200130000686 |
| Provider Name | Bruce B Horswell |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417911975 PECOS PAC ID: 5294815999 Enrollment ID: I20200306000483 |
| Provider Name | Nigel Shaun Matthews |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1164825410 PECOS PAC ID: 3577888338 Enrollment ID: I20200730002314 |
| Provider Name | Andrew R Bartels |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831759083 PECOS PAC ID: 4789000258 Enrollment ID: I20200805001157 |
| Provider Name | Christopher K Howard |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1417016932 PECOS PAC ID: 3476833633 Enrollment ID: I20210602002388 |
| Provider Name | Massimiliano Digiosia |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1215317276 PECOS PAC ID: 7315252343 Enrollment ID: I20220311000493 |
| Provider Name | William L Chung |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1295716322 PECOS PAC ID: 1254528474 Enrollment ID: I20221025000426 |
| Provider Name | Christine Lynn Downey |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568690675 PECOS PAC ID: 0042510471 Enrollment ID: I20230710003241 |
| Provider Name | Paramjeet Sagoo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1225567316 PECOS PAC ID: 7911389952 Enrollment ID: I20230714002039 |
| Provider Name | Neetha Santosh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740621002 PECOS PAC ID: 3678892841 Enrollment ID: I20231108000479 |
| Provider Name | Flavio De Alcantara Camejo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1053962654 PECOS PAC ID: 8325485790 Enrollment ID: I20240320003262 |
Louly Dentistry, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11530 E Washington Street, Indianapolis, IN 46229 Phone: 317-869-0000 Fax: 317-869-0233 | |
Jamestowne Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6249 S East St, Suite J, Indianapolis, IN 46227 Phone: 317-789-1000 | |
Holland Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3935 Eagle Creek Pkwy Ste A, Indianapolis, IN 46254 Phone: 317-291-1000 | |
John M. Porter Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8202 Clearvista Pkwy, Building 5 Suite B, Indianapolis, IN 46256 Phone: 317-842-6333 | |
University Pediatric Dentistry Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Roc - Suite 4205, Indianapolis, IN 46202 Phone: 317-944-9604 Fax: 317-948-0760 | |
Castleton General & Implant Dentistry Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 6535 E 82nd St, Suite 211, Indianapolis, IN 46250 Phone: 317-849-3597 Fax: 317-913-0641 | |
Thoman Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 E Stop 11 Rd Ste A, Indianapolis, IN 46237 Phone: 317-865-1300 |