# EDMUND L. RAPP, D.D.S., M.S.D., P.C.

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

## Provider details

- **NPI number:** 1659447480
- **Authorized official:** DR. EDMUND LEO RAPP D.D.S., M.S.D. (PRESIDENT)
- **Authorized official phone:** (317) 887-7732

## Contact information

- **Practice address:** 1350 E COUNTY LINE RD, SUITE G, INDIANAPOLIS, IN 46227-0873
- **Practice address phone:** (317) 887-7732
- **Practice address fax:** (317) 887-7731
- **Mailing address:** 1350 E COUNTY LINE RD, SUITE G, INDIANAPOLIS, IN 46227-0873
- **Mailing address phone:** (317) 887-7732
- **Mailing address fax:** (317) 887-7731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 54000800A | IN | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 08/22/2020