Organization
CHAD L BAILEY, DDS LLC
Active
Other names
Chad L Bailey, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BAILEY DDS (DENTIST)
(317) 773-0010
Entity
Organization
Contact information
Practice address
341 LOGAN ST STE 110, NOBLESVILLE, IN 46060-1572
(317) 773-0010
Mailing address
341 LOGAN ST STE 110, NOBLESVILLE, IN 46060-1572
(317) 773-0010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912023326
NPI TYPE 1
IN
Enumeration date
05/02/2019
Last updated
05/02/2019
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