| Keystone Endodontics | |
|
3105 E 98th St Suite 130 Indianapolis IN 46280-2005 | |
| (317) 569-9977 | |
| Not Available |
| Full Name | Keystone Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3105 E 98th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Donald G. Anderson (OWNER) |
| Authorized Official Contact | 3175699977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Endodontics 3105 E 98th St Indianapolis IN 46280-2005 Ph: (317) 569-9977 | Keystone Endodontics 3105 E 98th St Suite 130 Indianapolis IN 46280-2005 Ph: (317) 569-9977 |
| NPI Number | 1033309471 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 08/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033309471 | NPI | - | NPPES |
| 1649372798 | Other | NPI TYPE I | |
| 12009805 | Other | IN | INDIANA DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12009805 (Indiana) | Primary |
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