| Noblesville Kids Dentistry | |
|
9669 E 146th St Noblesville IN 46060-5005 | |
| (317) 773-5437 | |
| (317) 773-3565 |
| Full Name | Noblesville Kids Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 9669 E 146th St, Noblesville, Indiana |
| Authorized Official Name and Position | Samuel Bullard (DOCTOR) |
| Authorized Official Contact | 3172198684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noblesville Kids Dentistry 9669 E 146th St Noblesville IN 46060-5005 Ph: (317) 773-5437 | Noblesville Kids Dentistry 9669 E 146th St Noblesville IN 46060-5005 Ph: (317) 773-5437 |
| NPI Number | 1750794269 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750794269 | NPI | - | NPPES |
| 20051740A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010489B (Indiana) | Primary |
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Noblesville Kids Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9669 E 146th St, Noblesville, IN 46060 Phone: 317-773-5437 Fax: 317-773-3565 |