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Organization
COMDENT, PC
Active
Organization
COMDENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SCOTT HALL D.D.S. (OWNER/PRESIDENT OF COMDENT, PC)
(317) 783-9993
Entity
Organization
Contact information
Practice address
4200 S EAST ST, SUITE A-14, INDIANAPOLIS, IN 46227-1534
(317) 783-9993
(317) 783-9999
Mailing address
4200 S EAST ST, SUITE A-14, INDIANAPOLIS, IN 46227-1534
(317) 783-9993
(317) 783-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009719
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200202580A
—
IN
Enumeration date
03/16/2015
Last updated
03/16/2015
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