Organization
WINDING RIDGE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULAIMAN SHALTONI DDS (OWNER)
(317) 559-5955
Entity
Organization
Contact information
Practice address
10930 PENDLETON PIKE, SUITE 104, INDIANAPOLIS, IN 46236-2856
(317) 595-5955
Mailing address
10930 PENDLETON PIKE, SUITE 104, INDIANAPOLIS, IN 46236-2856
(317) 595-5955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012029B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578798963
INDIVIDUAL NPI
—
Enumeration date
10/25/2016
Last updated
10/27/2016
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