Individual
MATTHEW W STEGEMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1505 E SOUTHPORT RD, INDIANAPOLIS, IN 46227-5303
(317) 784-2266
(317) 782-4178
Mailing address
1505 E SOUTHPORT RD, INDIANAPOLIS, IN 46227
(317) 784-2266
(317) 782-4178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN 8826
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38403
MILITARY
IN
Enumeration date
01/09/2007
Last updated
09/10/2007
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