| Indy Dental Implants Llc | |
|
8445 S Emerson Ave Suite 101 Indianapolis IN 46237-9596 | |
| (317) 884-8633 | |
| (317) 300-1896 |
| Full Name | Indy Dental Implants Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 8445 S Emerson Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Kellie M Schaub (OWNER) |
| Authorized Official Contact | 3178848633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Dental Implants Llc 8445 S Emerson Ave Suite 101 Indianapolis IN 46237-9596 Ph: (317) 884-8633 | Indy Dental Implants Llc 8445 S Emerson Ave Suite 101 Indianapolis IN 46237-9596 Ph: (317) 884-8633 |
| NPI Number | 1982074118 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 09/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982074118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 12010873A (Indiana) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12009521A (Indiana) | Secondary |
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