| Mooresville Pediatric Dentistry Pc | |
|
100 Town Center Dr S Ste A Mooresville IN 46158-2322 | |
| (317) 831-5439 | |
| Not Available |
| Full Name | Mooresville Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Town Center Dr S Ste A, Mooresville, Indiana |
| Authorized Official Name and Position | Holly Clark (OWNER) |
| Authorized Official Contact | 3172732372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mooresville Pediatric Dentistry Pc 7830 Rockville Rd Ste A Indianapolis IN 46214-3130 Ph: (317) 273-2372 | Mooresville Pediatric Dentistry Pc 100 Town Center Dr S Ste A Mooresville IN 46158-2322 Ph: (317) 831-5439 |
| NPI Number | 1912719147 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912719147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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