# BRAD SAMMONS DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brad Sammons DDS, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477997559
- **Authorized official:** BRAD SAMMONS DDS (DENTIST)
- **Authorized official phone:** (317) 859-6768

## Contact information

- **Practice address:** 8325 S EMERSON AVE, SUITE A-1, INDIANAPOLIS, IN 46237-8558
- **Practice address phone:** (317) 859-6768
- **Practice address fax:** (317) 859-0144
- **Mailing address:** 8325 S EMERSON AVE, SUITE A-1, INDIANAPOLIS, IN 46237-8558
- **Mailing address phone:** (317) 859-6768
- **Mailing address fax:** (317) 859-0144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009371 | IN | Yes |

## Other

- **Enumeration date:** 04/19/2013
- **Last updated:** 08/27/2013