# INDIANA DENTURE SPECIALIST, INC

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

## Provider details

- **NPI number:** 1356707210
- **Authorized official:** MR. CURTIS L EAKER (PRESIDENT)
- **Authorized official phone:** (317) 782-3362

## Contact information

- **Practice address:** 5510 S EAST ST STE C, INDIANAPOLIS, IN 46227-1939
- **Practice address phone:** (317) 782-3362
- **Practice address fax:** (317) 879-5385
- **Mailing address:** 5510 S EAST ST STE C, INDIANAPOLIS, IN 46227-1939
- **Mailing address phone:** (317) 782-3362
- **Mailing address fax:** (317) 879-5385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009983 | NULL | Yes |
| 1223G0001X | General Practice Dentistry | 12009983 | — | Yes |

## Other

- **Enumeration date:** 01/07/2016
- **Last updated:** 01/07/2016