| Steve Douglas, Dds, Pc | |
|
6745 Gray Rd Suite F Indianapolis IN 46237-3262 | |
| (317) 786-1277 | |
| (317) 786-1497 |
| Full Name | Steve Douglas, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6745 Gray Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Steve Douglas (OWNER) |
| Authorized Official Contact | 3177861277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Douglas, Dds, Pc 6745 Gray Rd Suite F Indianapolis IN 46237-3262 Ph: (317) 786-1277 | Steve Douglas, Dds, Pc 6745 Gray Rd Suite F Indianapolis IN 46237-3262 Ph: (317) 786-1277 |
| NPI Number | 1437454733 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437454733 | NPI | - | NPPES |
| 100102910A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009346 (Indiana) | Primary |
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