| Southport Smiles Family And Cosmetic Dentistry | |
|
1505 E Southport Rd Indianapolis IN 46227-5303 | |
| (317) 784-2266 | |
| Not Available |
| Full Name | Southport Smiles Family And Cosmetic Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1505 E Southport Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Bethany Geyman (DENTIST) |
| Authorized Official Contact | 3175071568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southport Smiles Family And Cosmetic Dentistry 1505 E Southport Rd Indianapolis IN 46227-5303 Ph: (317) 784-2266 | Southport Smiles Family And Cosmetic Dentistry 1505 E Southport Rd Indianapolis IN 46227-5303 Ph: (317) 784-2266 |
| NPI Number | 1457908667 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457908667 | NPI | - | NPPES |
| 1558498238 | Other | IN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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