| Indy Dental Group Wf, Inc. | |
|
16407 Southpark Dr Suite B Westfield IN 46074-8472 | |
| (317) 867-5400 | |
| (317) 867-5477 |
| Full Name | Indy Dental Group Wf, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16407 Southpark Dr, Westfield, Indiana |
| Authorized Official Name and Position | Elizabeth B Lewis (OWNER) |
| Authorized Official Contact | 3178675400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Dental Group Wf, Inc. 16407 Southpark Dr Suite B Westfield IN 46074-8472 Ph: (317) 867-5400 | Indy Dental Group Wf, Inc. 16407 Southpark Dr Suite B Westfield IN 46074-8472 Ph: (317) 867-5400 |
| NPI Number | 1306998315 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 01/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306998315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009479 (Indiana) | Primary |
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