# NANCY Z. HALSEMA, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmel West Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235410770
- **Authorized official:** DR. NANCY Z HALSEMA D.D.S. (PRESIDENT)
- **Authorized official phone:** (317) 253-8631

## Contact information

- **Practice address:** 3965 W 106TH ST, SUITE 100, CARMEL, IN 46032-7750
- **Practice address phone:** (317) 253-8631
- **Practice address fax:** (317) 876-9715
- **Mailing address:** 3965 W 106TH ST, SUITE 100, CARMEL, IN 46032-7750
- **Mailing address phone:** (317) 253-8631
- **Mailing address fax:** (317) 876-9715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2011
- **Last updated:** 08/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043363971 | NPI TYPE 1 | IN |