| The Extra Smile, P.c. | |
|
1610 Greyhound Pass Suite #b Carmel IN 46032-5027 | |
| (317) 705-5800 | |
| Not Available |
| Full Name | The Extra Smile, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1610 Greyhound Pass, Carmel, Indiana |
| Authorized Official Name and Position | Timothy J. Hoftiezer (PRESIDENT) |
| Authorized Official Contact | 3177055800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Extra Smile, P.c. 1610 Greyhound Pass Suite #b Carmel IN 46032-5027 Ph: (317) 705-5800 | The Extra Smile, P.c. 1610 Greyhound Pass Suite #b Carmel IN 46032-5027 Ph: (317) 705-5800 |
| NPI Number | 1699071845 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 02/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699071845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009970 (Indiana) | Primary |
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