# LADD DENTAL OF FISHERS P.C.

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

## Provider details

- **NPI number:** 1558385120
- **Authorized official:** DR. JOHN R LADD (INS ADM)
- **Authorized official phone:** (765) 570-5689

## Contact information

- **Practice address:** 10562 E 96TH ST, FISHERS, IN 46037-9643
- **Practice address phone:** (317) 570-5689
- **Practice address fax:** (317) 570-5825
- **Mailing address:** 10562 E 96TH ST, FISHERS, IN 46037-9643
- **Mailing address phone:** (317) 570-5689
- **Mailing address fax:** (317) 570-5825

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020