| The Smile Center | |
|
7526 E 82nd St Ste 110 Indianapolis IN 46256-1462 | |
| (317) 915-0787 | |
| (866) 941-4941 |
| Full Name | The Smile Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7526 E 82nd St Ste 110, Indianapolis, Indiana |
| Authorized Official Name and Position | Jyoti R Shah (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3179150787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Center 7526 E 82nd St Ste 110 Indianapolis IN 46256-1462 Ph: (317) 915-0787 | The Smile Center 7526 E 82nd St Ste 110 Indianapolis IN 46256-1462 Ph: (317) 915-0787 |
| NPI Number | 1164803235 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164803235 | NPI | - | NPPES |
| 200206200A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010068 (Indiana) | Primary |
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