# EVEREST DENTAL LLC

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

## Provider details

- **NPI number:** 1306364252
- **Authorized official:** DR. ABRAM SAMUEL HESS DDS (DENTIST)
- **Authorized official phone:** (812) 322-5587

## Contact information

- **Practice address:** 6326 RUCKER RD STE B, INDIANAPOLIS, IN 46220-4861
- **Practice address phone:** (812) 322-5587
- **Mailing address:** 610 COTTAGE AVE, INDIANAPOLIS, IN 46203-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12012466A | IN | Yes |

## Other

- **Enumeration date:** 08/30/2017
- **Last updated:** 08/30/2017