# ENDODONTIC SPECIALISTS

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

## Provider details

- **NPI number:** 1982012803
- **Authorized official:** DR. MYCHEL M VAIL DDS, MSD (ENDODONTIST)
- **Authorized official phone:** (317) 570-9000

## Contact information

- **Practice address:** 10078 LANTERN RD, FISHERS, IN 46037-9685
- **Practice address phone:** (317) 570-9000
- **Mailing address:** 10078 LANTERN RD, FISHERS, IN 46037-9685
- **Mailing address phone:** (317) 570-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2014
- **Last updated:** 07/23/2014