# PROSTHODONTICS OF CENTRAL INDIANA

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

## Provider details

- **NPI number:** 1780208884
- **Authorized official:** DR. CHRISTINE BISHOP DDS (MEMBER)
- **Authorized official phone:** (317) 574-0866

## Contact information

- **Practice address:** 11405 N PENN ST STE 110, CARMEL, IN 46032-6905
- **Practice address phone:** (317) 574-0866
- **Practice address fax:** (317) 574-0867
- **Mailing address:** 11405 N PENN ST STE 110, CARMEL, IN 46032-6905
- **Mailing address phone:** (317) 574-0866
- **Mailing address fax:** (317) 574-0867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2020
- **Last updated:** 06/04/2020