| Sitaram Dental Llc | |
|
3780 W Jonathan Moore Pike Ste 180 Columbus IN 47201-9430 | |
| (812) 342-9666 | |
| Not Available |
| Full Name | Sitaram Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3780 W Jonathan Moore Pike Ste 180, Columbus, Indiana |
| Authorized Official Name and Position | Dipesh Sitaram (OWNER) |
| Authorized Official Contact | 3175068350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sitaram Dental Llc 3780 W Jonathan Moore Pike Ste 180 Columbus IN 47201-9430 Ph: (317) 506-8350 | Sitaram Dental Llc 3780 W Jonathan Moore Pike Ste 180 Columbus IN 47201-9430 Ph: (812) 342-9666 |
| NPI Number | 1902055056 |
|---|---|
| Provider Enumeration Date | 09/13/2008 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902055056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010835A (Indiana) | Primary |
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