# ERIC L TREADWELL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Epler Parke Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255719605
- **Authorized official:** DR. ERIC L TREADWELL DDS (OWNER)
- **Authorized official phone:** (317) 786-1733

## Contact information

- **Practice address:** 5510 S EAST ST STE A, INDIANAPOLIS, IN 46227-1939
- **Practice address phone:** (317) 786-1733
- **Practice address fax:** (317) 786-8367
- **Mailing address:** 5510 S EAST ST STE A, INDIANAPOLIS, IN 46227-1939
- **Mailing address phone:** (317) 786-1733
- **Mailing address fax:** (317) 786-8367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2015
- **Last updated:** 05/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200217510 | — | IN |