# THOMAN DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013427350
- **Authorized official:** DR. CAROLE E THOMAN (OWNER)
- **Authorized official phone:** (317) 788-1300

## Contact information

- **Practice address:** 4950 E STOP 11 RD STE A, INDIANAPOLIS, IN 46237-9104
- **Practice address phone:** (317) 865-1300
- **Mailing address:** 32 N MAIN ST, INDIANAPOLIS, IN 46227-5136
- **Mailing address phone:** (317) 788-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12008095 | IN | Yes |

## Other

- **Enumeration date:** 09/30/2017
- **Last updated:** 09/30/2017