| Jamestowne Dental | |
|
6249 S East St Suite J Indianapolis IN 46227-2091 | |
| (317) 789-1000 | |
| Not Available |
| Full Name | Jamestowne Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6249 S East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Allison Gardiner (MEMBER) |
| Authorized Official Contact | 3173534469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamestowne Dental 6249 S East St Suite J Indianapolis IN 46227-2091 Ph: (317) 789-1000 | Jamestowne Dental 6249 S East St Suite J Indianapolis IN 46227-2091 Ph: (317) 789-1000 |
| NPI Number | 1003290388 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003290388 | NPI | - | NPPES |
| 201026900 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011631A (Indiana) | Primary |
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