| Newberry Dental | |
|
135 N Shortridge Rd Ste A1 Indianapolis IN 46219-8905 | |
| (317) 203-3424 | |
| Not Available |
| Full Name | Newberry Dental |
|---|---|
| Speciality | Dentist |
| Location | 135 N Shortridge Rd Ste A1, Indianapolis, Indiana |
| Authorized Official Name and Position | Emily Jane Horcha (OWNER) |
| Authorized Official Contact | 3172033424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newberry Dental 135 N Shortridge Rd Ste A1 Indianapolis IN 46219-8905 Ph: (317) 203-3424 | Newberry Dental 135 N Shortridge Rd Ste A1 Indianapolis IN 46219-8905 Ph: (317) 203-3424 |
| NPI Number | 1194235291 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194235291 | NPI | - | NPPES |
| 201328700 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012423A (Indiana) | Primary |
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