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David Van Winkle

Dentist, Periodontics in Indianapolis, IN. Individual provider (NPI-1).

NPI number1356922751
StatusActive
Last updated in NPPESNov 12, 2024

Details

NPI
1356922751
Entity type
Individual (NPI-1)
Name
David Van Winkle
Sex
Male
Sole proprietor
No
Enumeration date
Apr 16, 2021
Certification date
Nov 12, 2024
Last updated
Nov 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics12014507AINYes

Practice location

8902 N Meridian St Ste 138
Indianapolis, IN 46260-5306

Phone 317-844-2792

Mailing address

12452 Anchorage Way
Fishers, IN 46037-9583

Phone 317-405-7420

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