James C. Mcallister Dds, Inc | |
135 N Shortridge Rd Suite B-5 Indianapolis IN 46219-4900 | |
(317) 357-8548 | |
(317) 357-8546 |
Full Name | James C. Mcallister Dds, Inc |
---|---|
Speciality | Dentist |
Location | 135 N Shortridge Rd, Indianapolis, Indiana |
Authorized Official Name and Position | James Clarence Mcallister (PRESIDENT) |
Authorized Official Contact | 3173578548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James C. Mcallister Dds, Inc 135 N Shortridge Rd Suite B-5 Indianapolis IN 46219-4900 Ph: (317) 357-8548 | James C. Mcallister Dds, Inc 135 N Shortridge Rd Suite B-5 Indianapolis IN 46219-4900 Ph: (317) 357-8548 |
NPI Number | 1861877508 |
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Provider Enumeration Date | 07/23/2015 |
Last Update Date | 07/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861877508 | NPI | - | NPPES |
100048150 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12006764 (Indiana) | Primary |
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