Immediadent Of Indiana, PC
Dentist in New Albany, IN. Organization (NPI-2).
NPI number1124496005
StatusActive
Last updated in NPPESSep 9, 2015
Details
- NPI
- 1124496005
- Entity type
- Organization (NPI-2)
- Legal business name
- Immediadent Of Indiana, PC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2015
- Last updated
- Sep 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12010746A | IN | Yes |
Other names
- Immediadent (Doing Business As)
Practice location
360 New Albany PlzNew Albany, IN 47150-4654
Phone 812-945-4040 · Fax 913-800-6967
Mailing address
Po Box 11568Overland Park, KS 66207-4268
Phone 913-800-6952 · Fax 913-800-6967
Authorized official
Thomas Frank
PC President
8122846328
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