| Mitthoeffer Family Dental, Llc | |
|
2236 N Mitthoeffer Rd Indianapolis IN 46229-1797 | |
| (317) 897-5093 | |
| Not Available |
| Full Name | Mitthoeffer Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2236 N Mitthoeffer Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Lana Hurley (PRACTICE DIRECTOR) |
| Authorized Official Contact | 3179265467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitthoeffer Family Dental, Llc 2236 N Mitthoeffer Rd Indianapolis IN 46229-1797 Ph: (317) 897-5093 | Mitthoeffer Family Dental, Llc 2236 N Mitthoeffer Rd Indianapolis IN 46229-1797 Ph: (317) 897-5093 |
| NPI Number | 1154879856 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154879856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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