| Tenth Street Dental Care | |
|
6919 E 10th St A-1 Indianapolis IN 46219-4893 | |
| (317) 358-8885 | |
| (317) 358-8886 |
| Full Name | Tenth Street Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6919 E 10th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Kevin J Welch (OWNER) |
| Authorized Official Contact | 3173588885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenth Street Dental Care 6919 E 10th St A-1 Indianapolis IN 46219-4893 Ph: (317) 358-8885 | Tenth Street Dental Care 6919 E 10th St A-1 Indianapolis IN 46219-4893 Ph: (317) 358-8885 |
| NPI Number | 1811243454 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811243454 | NPI | - | NPPES |
| 201033180 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011453A (Indiana) | Primary |
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