Dr. Vinicius Dutra, D.D.S.
Dentist, Oral and Maxillofacial Radiology in Indianapolis, IN. Individual provider (NPI-1).
NPI number1265091029
StatusActive
Last updated in NPPESAug 4, 2026
Details
- NPI
- 1265091029
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vinicius Dutra
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2019
- Certification date
- Aug 4, 2026
- Last updated
- Aug 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0008X | Dentist, Oral and Maxillofacial Radiology | 98000992A | IN | Yes |
Practice location
1121 W Michigan StIndianapolis, IN 46202-5211
Phone 317-274-7433 · Fax 317-274-2603
Mailing address
1121 W Michigan StIndianapolis, IN 46202-5211
Phone 317-274-7433 · Fax 317-274-2603
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