Endodontic Specialists
Dentist, Endodontics in Fishers, IN. Organization (NPI-2).
NPI number1982012803
StatusActive
Last updated in NPPESJul 23, 2014
Details
- NPI
- 1982012803
- Entity type
- Organization (NPI-2)
- Legal business name
- Endodontic Specialists
- Organization subpart
- No
- Enumeration date
- Jul 23, 2014
- Last updated
- Jul 23, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | – | Yes |
Practice location
10078 Lantern RdFishers, IN 46037-9685
Phone 317-570-9000
Mailing address
10078 Lantern RdFishers, IN 46037-9685
Phone 317-570-9000
Authorized official
Mychel M Vail
Endodontist
3175709000
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