University Pediatric Dentistry Associates | |
705 Riley Hospital Dr Roc - Suite 4205 Indianapolis IN 46202-5109 | |
(317) 944-9604 | |
(317) 948-0760 |
Full Name | University Pediatric Dentistry Associates |
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Speciality | Dentist - Pediatric Dentistry |
Location | 705 Riley Hospital Dr, Indianapolis, Indiana |
Authorized Official Name and Position | Brian J Sanders (PRESIDENT) |
Authorized Official Contact | 3179449604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Pediatric Dentistry Associates 705 Riley Hospital Dr Roc - Suite 4205 Indianapolis IN 46202-5109 Ph: (317) 944-9604 | University Pediatric Dentistry Associates 705 Riley Hospital Dr Roc - Suite 4205 Indianapolis IN 46202-5109 Ph: (317) 944-9604 |
NPI Number | 1003947599 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 02/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003947599 | NPI | - | NPPES |
100061940 | Medicaid | IN | |
103337 | Other | IN | CHILDREN SPECIAL HEALTH |
100176300 | Medicaid | IN | |
200331160 | Medicaid | IN | |
200515490 | Medicaid | IN | |
1003587 | Other | IN | GROUP ID PRIV. INSUR |
100087220 | Medicaid | IN | |
100440160 | Medicaid | IN |
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