| Noblesville Dental Associates Llc | |
|
17567 River Ave. Noblesville IN 46062 | |
| (317) 773-2983 | |
| (317) 773-2762 |
| Full Name | Noblesville Dental Associates Llc |
|---|---|
| Speciality | Dentist |
| Location | 17567 River Ave., Noblesville, Indiana |
| Authorized Official Name and Position | Wayne T. Kinney (OWNER) |
| Authorized Official Contact | 3175751120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noblesville Dental Associates Llc 17567 River Ave. Noblesville IN 46062 Ph: (317) 773-2983 | Noblesville Dental Associates Llc 17567 River Ave. Noblesville IN 46062 Ph: (317) 773-2983 |
| NPI Number | 1346752011 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346752011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008106A (Indiana) | Primary |
| 122300000X | Dentist | 12012314A (Indiana) | Secondary |
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