| Promise Dental Llc | |
|
12574 Promise Creek Ln Suite 110 Fishers IN 46038-7712 | |
| (317) 537-7280 | |
| Not Available |
| Full Name | Promise Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 12574 Promise Creek Ln, Fishers, Indiana |
| Authorized Official Name and Position | Pavel D Svilenov (MEMBER) |
| Authorized Official Contact | 3175377280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Dental Llc 12574 Promise Creek Ln Suite 110 Fishers IN 46038-7712 Ph: (317) 537-7280 | Promise Dental Llc 12574 Promise Creek Ln Suite 110 Fishers IN 46038-7712 Ph: (317) 537-7280 |
| NPI Number | 1972041705 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972041705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010897A (Indiana) | Primary |
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