# WHITE RIVER ENDODONTICS, LLC

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

## Provider details

- **NPI number:** 1992370530
- **Authorized official:** DR. ETHAN HAMER DDS (MEMBER)
- **Authorized official phone:** (317) 674-3919

## Contact information

- **Practice address:** 9779 E 146TH ST STE 110, NOBLESVILLE, IN 46060-4327
- **Practice address phone:** (317) 674-3919
- **Practice address fax:** (317) 674-3911
- **Mailing address:** 9779 E 146TH ST STE 110, NOBLESVILLE, IN 46060-4327
- **Mailing address phone:** (317) 674-3919

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2021
- **Last updated:** 05/25/2021