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Organization
MILES D. SCHROEDER AND GERALYN M. SCHROEDER, P.C.
Active
Organization
MILES D. SCHROEDER AND GERALYN M. SCHROEDER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES D SCHROEDER D.D.S. (DENTIST)
(317) 897-8028
Entity
Organization
Contact information
Practice address
8028 E 10TH ST, SUITE C, INDIANAPOLIS, IN 46219-5242
(317) 897-8028
(317) 897-8025
Mailing address
8028 E 10TH ST, SUITE C, INDIANAPOLIS, IN 46219-5242
(317) 897-8028
(317) 897-8025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7381
IN
1223G0001X
General Practice Dentistry
7658
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447397765
NPI
IN
05
—
200190760A
—
IN
Enumeration date
06/02/2015
Last updated
06/02/2015
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