# REBECCA P. BOLON DDS MSD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rebecca P. Bolon DDS MSD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699491316
- **Authorized official:** DAVID PADRICK (OFFICE MANAGER)
- **Authorized official phone:** (317) 374-3829

## Contact information

- **Practice address:** 9311 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1865
- **Practice address phone:** (317) 846-6107
- **Mailing address:** 9311 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-1865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022