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Organization
DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.
Active
Organization
DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.
Active
Parent organization
DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.
Other names
Central Indiana Periodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH PROFESSIONALS OF INDIANA, P.C.
Authorized official
COURTNEY R MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
8235 COUNTRY VILLAGE DR, INDIANAPOLIS, IN 46214-3106
(317) 299-4731
Mailing address
8235 COUNTRY VILLAGE DR, INDIANAPOLIS, IN 46214-3106
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
05/25/2022
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