| Sweet Tooth Dentistry, Llc | |
|
9510 N Meridian St Ste 250 Indianapolis IN 46260-1334 | |
| (317) 910-7832 | |
| Not Available |
| Full Name | Sweet Tooth Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9510 N Meridian St Ste 250, Indianapolis, Indiana |
| Authorized Official Name and Position | Shereen A Elsahy (DENTIST / OWNER) |
| Authorized Official Contact | 3179107832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweet Tooth Dentistry, Llc 9510 N Meridian St Ste 250 Indianapolis IN 46260-1334 Ph: (317) 910-7832 | Sweet Tooth Dentistry, Llc 9510 N Meridian St Ste 250 Indianapolis IN 46260-1334 Ph: (317) 910-7832 |
| NPI Number | 1902542160 |
|---|---|
| Provider Enumeration Date | 05/10/2022 |
| Last Update Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902542160 | NPI | - | NPPES |
| 12012010A | Other | IN | IN DENTAL LICENSE |
| 201249040 | Medicaid | IN | |
| 1851731483 | Other | IN | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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