Noblesville Dental Associates LLC
Dentist in Noblesville, IN. Organization (NPI-2).
NPI number1346752011
StatusActive
Last updated in NPPESNov 2, 2017
Details
- NPI
- 1346752011
- Entity type
- Organization (NPI-2)
- Legal business name
- Noblesville Dental Associates LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 2, 2017
- Last updated
- Nov 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12008106A | IN | Yes |
| 122300000X | Dentist | 12012314A | IN |
Practice location
17567 River Ave.Noblesville, IN 46062
Phone 317-773-2983 · Fax 317-773-2762
Mailing address
17567 River Ave.Noblesville, IN 46062
Phone 317-773-2983 · Fax 317-773-2762
Authorized official
Wayne T. Kinney
Owner
3175751120
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