| Stephen K Shields, DDS | |
|
411 N Peru St, Cicero, IN 46034-9498 | |
| (317) 984-3531 | |
| (317) 984-8086 |
| Full Name | Stephen K Shields |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 411 N Peru St, Cicero, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063452274 | NPI | - | NPPES |
| 100125360A | Medicaid | IN | |
| 20193 | Other | IN | DENTAL BENEFIT PROVIDERS |
| 779092 | Other | IN | UNITED CONCORDIA INSURANC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12007382 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen K Shields, DDS 411 N Peru St, Cicero, IN 46034-9498 Ph: (317) 984-3531 | Stephen K Shields, DDS 411 N Peru St, Cicero, IN 46034-9498 Ph: (317) 984-3531 |
Douglas Michael Hartley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 411 N Peru St, Cicero, IN 46034 Phone: 317-984-3531 | |
Dr. Myrna I Janer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 409 N Peru St, Cicero, IN 46034 Phone: 317-984-1800 Fax: 317-984-1877 | |
Dr. Thomas Jerry Elliott Sr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17 West Jackson St., Cicero, IN 46034 Phone: 317-984-5676 Fax: 317-984-5677 |