| Lefevre Dentistry, Inc | |
|
5520 Pebble Village Ln Suite 200 Noblesville IN 46062-7423 | |
| (317) 867-3335 | |
| (317) 867-3337 |
| Full Name | Lefevre Dentistry, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5520 Pebble Village Ln, Noblesville, Indiana |
| Authorized Official Name and Position | Delayne Marie Lefevre (PRESIDENT) |
| Authorized Official Contact | 3178673335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lefevre Dentistry, Inc 5520 Pebble Village Ln Suite 200 Noblesville IN 46062-7423 Ph: (317) 867-3335 | Lefevre Dentistry, Inc 5520 Pebble Village Ln Suite 200 Noblesville IN 46062-7423 Ph: (317) 867-3335 |
| NPI Number | 1508175928 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508175928 | NPI | - | NPPES |
| 200870170 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10831 (Indiana) | Primary |
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