# MILES D. SCHROEDER AND GERALYN M. SCHROEDER, P.C.

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

## Provider details

- **NPI number:** 1194105502
- **Authorized official:** MILES D SCHROEDER D.D.S. (DENTIST)
- **Authorized official phone:** (317) 897-8028

## Contact information

- **Practice address:** 8028 E 10TH ST, SUITE C, INDIANAPOLIS, IN 46219-5242
- **Practice address phone:** (317) 897-8028
- **Practice address fax:** (317) 897-8025
- **Mailing address:** 8028 E 10TH ST, SUITE C, INDIANAPOLIS, IN 46219-5242
- **Mailing address phone:** (317) 897-8028
- **Mailing address fax:** (317) 897-8025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7381 | IN | Yes |
| 1223G0001X | General Practice Dentistry | 7658 | IN | — |

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 06/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447397765 | NPI | IN |
| 05 | — | 200190760A | — | IN |