Fishers Family Dental, LLC
Dentist, General Practice in Fishers, IN. Organization (NPI-2).
NPI number1366088056
StatusActive
Last updated in NPPESNov 18, 2019
Details
- NPI
- 1366088056
- Entity type
- Organization (NPI-2)
- Legal business name
- Fishers Family Dental, LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2019
- Last updated
- Nov 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
9865 E 116th St Ste 100Fishers, IN 46037-9237
Phone 317-570-5480
Mailing address
9865 E 116th St Ste 100Fishers, IN 46037-9237
Phone 317-570-5480
Authorized official
Ashley Coad
Credentialing Specialist
3175705480
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