| Mark A. Kahn, Dds, Pc | |
|
6211 W 30th St Indianapolis IN 46224-3048 | |
| (317) 299-0353 | |
| Not Available |
| Full Name | Mark A. Kahn, Dds, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6211 W 30th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Mark A Kahn (PRESIDENT) |
| Authorized Official Contact | 3172990353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Kahn, Dds, Pc 6211 W 30th St Indianapolis IN 46224-3048 Ph: (317) 299-0353 | Mark A. Kahn, Dds, Pc 6211 W 30th St Indianapolis IN 46224-3048 Ph: (317) 299-0353 |
| NPI Number | 1063885820 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063885820 | NPI | - | NPPES |
| 162916151 | Other | IN | NPI TYPE 1 |
| 100131620 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12009076 (Indiana) | Primary |
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