| Tlc Family Dentistry, Llc | |
|
7625 S Meridian St Indianapolis IN 46217-4257 | |
| (317) 881-8271 | |
| Not Available |
| Full Name | Tlc Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7625 S Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Tanner Crandell (DENTIST / OWNER) |
| Authorized Official Contact | 2605153217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Family Dentistry, Llc 7625 S Meridian St Indianapolis IN 46217-4257 Ph: () - | Tlc Family Dentistry, Llc 7625 S Meridian St Indianapolis IN 46217-4257 Ph: (317) 881-8271 |
| NPI Number | 1184380552 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184380552 | NPI | - | NPPES |
| 12009264A | Other | IN | IN DENTAL LICENSE |
| 1689662298 | Other | IN | NPI TYPE 1 |
| 1730746710 | Other | IN | NPI TYPE 1 |
| 12013136A | Other | IN | IN DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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