| Indy Dental Group 93rd, Inc. | |
|
9310 N Meridian St Ste 200 Indianapolis IN 46260-1806 | |
| (317) 846-6125 | |
| (317) 846-6282 |
| Full Name | Indy Dental Group 93rd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9310 N Meridian St Ste 200, Indianapolis, Indiana |
| Authorized Official Name and Position | Elizabeth B Lewis (OWNER) |
| Authorized Official Contact | 3175711900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Dental Group 93rd, Inc. 9310 N Meridian St Ste 200 Indianapolis IN 46260-1806 Ph: (317) 846-6125 | Indy Dental Group 93rd, Inc. 9310 N Meridian St Ste 200 Indianapolis IN 46260-1806 Ph: (317) 846-6125 |
| NPI Number | 1366531196 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 01/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366531196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009479 (Indiana) | Primary |
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