Jillian C. Brady, DDS, LLC
Clinic/Center, Dental in Indianapolis, IN. Organization (NPI-2).
NPI number1033746136
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1033746136
- Entity type
- Organization (NPI-2)
- Legal business name
- Jillian C. Brady, DDS, LLC
- Organization subpart
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
5150 E Stop 11 Rd Ste 11Indianapolis, IN 46237-8629
Phone 317-889-6000
Mailing address
5150 E Stop 11 Rd Ste 11Indianapolis, IN 46237-8629
Phone 317-889-6000
Authorized official
Jillian Christine Brady
Dentist
3178896000
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