| Pro Dental In 1 Pc | |
|
8137 Pendleton Pike Indianapolis IN 46226-4014 | |
| (317) 593-2500 | |
| (317) 292-9096 |
| Full Name | Pro Dental In 1 Pc |
|---|---|
| Speciality | Dentist |
| Location | 8137 Pendleton Pike, Indianapolis, Indiana |
| Authorized Official Name and Position | Simone Wilson-adeleke (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7329143991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Dental In 1 Pc 10 Woodbridge Center Dr Ste 520 Woodbridge NJ 07095-1152 Ph: (732) 731-8398 | Pro Dental In 1 Pc 8137 Pendleton Pike Indianapolis IN 46226-4014 Ph: (317) 593-2500 |
| NPI Number | 1760219299 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760219299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Louly Dentistry, Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11530 E Washington Street, Indianapolis, IN 46229 Phone: 317-869-0000 Fax: 317-869-0233 | |
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