Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MALEK FANSA D.D.S., LLC.
Active
Organization
MALEK FANSA D.D.S., LLC.
Active
Other names
Gentle Family Dentistry at Fort Ben Harrison
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALEK FANSA D.D.S. (DENTIST/OWNER)
(317) 545-6545
Entity
Organization
Contact information
Practice address
9620 E 59TH ST, INDIANAPOLIS, IN 46216-1020
(317) 545-6545
Mailing address
13119 MAYWICK DR, FISHERS, IN 46037-4425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010260A
IN
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers