| Olive Branch Dental | |
|
2826 S State Road 135 Ste C Greenwood IN 46143-9603 | |
| (317) 743-7777 | |
| (317) 854-6577 |
| Full Name | Olive Branch Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2826 S State Road 135 Ste C, Greenwood, Indiana |
| Authorized Official Name and Position | Srinivas Durshanapalli (MANAGING PARTNER) |
| Authorized Official Contact | 2173035955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Dental 2826 S State Road 135 Ste C Greenwood IN 46143-9603 Ph: () - | Olive Branch Dental 2826 S State Road 135 Ste C Greenwood IN 46143-9603 Ph: (317) 743-7777 |
| NPI Number | 1053904409 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053904409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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