Organization
JYOTI R. SHAH, DDS INC
Active
Other names
The Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JYOTI R SHAH D.D.S. (PRESIDENT/DENTIST)
(317) 915-0787
Entity
Organization
Contact information
Practice address
7526 E 82ND ST STE 110, INDIANAPOLIS, IN 46256-1462
(317) 915-0787
(866) 941-4941
Mailing address
7526 E 82ND ST STE 110, INDIANAPOLIS, IN 46256-1462
(317) 915-0787
(866) 941-4941
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12010068
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200206200A
—
IN
Enumeration date
06/15/2015
Last updated
06/15/2015
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