| Integrative Dental | |
|
7537 W 38th St Indianapolis IN 46254-2937 | |
| (317) 329-9291 | |
| (317) 329-1031 |
| Full Name | Integrative Dental |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7537 W 38th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Michael Kevin Gossweiler (PRESIDENT) |
| Authorized Official Contact | 3173299291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Dental 7537 W 38th St Indianapolis IN 46254-2937 Ph: (317) 329-9291 | Integrative Dental 7537 W 38th St Indianapolis IN 46254-2937 Ph: (317) 329-9291 |
| NPI Number | 1063614220 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063614220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 12008973 (Indiana) | Primary |
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