Organization
INDY CENTER FOR SLEEP HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK E NICEWANDER DDS (PARTNER)
(317) 999-9977
Entity
Organization
Contact information
Practice address
13578 E 131ST ST STE 101B, FISHERS, IN 46037-6400
(317) 999-9977
(317) 219-5580
Mailing address
13578 E 131ST ST STE 101B, FISHERS, IN 46037-6400
(317) 999-9977
(317) 219-5580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
04/09/2020
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