Organization
NEWBERRY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY JANE HORCHA DMD (OWNER)
(317) 203-3424
Entity
Organization
Contact information
Practice address
135 N SHORTRIDGE RD STE A1, INDIANAPOLIS, IN 46219-8905
(317) 203-3424
Mailing address
135 N SHORTRIDGE RD STE A1, INDIANAPOLIS, IN 46219-8905
(317) 203-3424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012423A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201328700
—
IN
Enumeration date
10/03/2017
Last updated
10/03/2017
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