| Zionsville Pediatric Dentistry | |
|
55 Brendon Way Suite 500 Zionsville IN 46077-1961 | |
| (317) 873-4186 | |
| (317) 873-1034 |
| Full Name | Zionsville Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 55 Brendon Way, Zionsville, Indiana |
| Authorized Official Name and Position | Melissa Annekeffer Mchenry (PRESIDENT) |
| Authorized Official Contact | 3178734186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zionsville Pediatric Dentistry 55 Brendon Way Suite 500 Zionsville IN 46077-1961 Ph: (317) 873-4186 | Zionsville Pediatric Dentistry 55 Brendon Way Suite 500 Zionsville IN 46077-1961 Ph: (317) 873-4186 |
| NPI Number | 1972704716 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972704716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12010176A (Indiana) | Primary |
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