Jeannie M Vickery, DDS
Dentist, Prosthodontics in Indianapolis, IN. Individual provider (NPI-1).
NPI number1265769780
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1265769780
- Entity type
- Individual (NPI-1)
- Name
- Jeannie M Vickery
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2009
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 12007392A | IN | Yes |
Practice location
1121 W Michigan StreetDs307b
Indianapolis, IN 46202-5186
Phone 317-278-3632 · Fax 317-274-2603
Mailing address
1121 W Michigan StreetDs307b
Indianapolis, IN 46202-5186
Phone 317-278-3632 · Fax 317-274-2603
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All 35 Prosthodontics providers in Indianapolis · All 38,312 providers in Indianapolis
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