| Northside Endodontics, Pc | |
|
1010 E 86th St Suite 15 Indianapolis IN 46240-1868 | |
| (317) 844-3396 | |
| (317) 844-4776 |
| Full Name | Northside Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1010 E 86th St, Indianapolis, Indiana |
| Authorized Official Name and Position | John H Slavens (OWNER) |
| Authorized Official Contact | 3178443396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Endodontics, Pc 1010 E 86th St Suite 15 Indianapolis IN 46240-1868 Ph: (317) 844-3396 | Northside Endodontics, Pc 1010 E 86th St Suite 15 Indianapolis IN 46240-1868 Ph: (317) 844-3396 |
| NPI Number | 1730345646 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730345646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 54000837A (Indiana) | Primary |
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