| Indy Dental Group Wc, Inc. | |
|
12720 Meeting House Rd Carmel IN 46032-7334 | |
| (317) 571-1900 | |
| (317) 569-9695 |
| Full Name | Indy Dental Group Wc, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12720 Meeting House Rd, Carmel, Indiana |
| Authorized Official Name and Position | Elzabeth 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 Wc, Inc. 12720 Meeting House Rd Carmel IN 46032-7334 Ph: (317) 571-1900 | Indy Dental Group Wc, Inc. 12720 Meeting House Rd Carmel IN 46032-7334 Ph: (317) 571-1900 |
| NPI Number | 1568557338 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568557338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009479 (Indiana) | Primary |
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