| Indy East Dental Llc | |
|
973 N Shadeland Ave Indianapolis IN 46219-4809 | |
| (317) 525-7398 | |
| Not Available |
| Full Name | Indy East Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 973 N Shadeland Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Ankit Patel (CEO) |
| Authorized Official Contact | 3175257398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy East Dental Llc 360 E Market St Apt 2002 Indianapolis IN 46204-2961 Ph: (317) 525-7398 | Indy East Dental Llc 973 N Shadeland Ave Indianapolis IN 46219-4809 Ph: (317) 525-7398 |
| NPI Number | 1154057461 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154057461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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