Organization
STUTLER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WILLIAM STUTLER DDS (PRESIDENT)
(317) 852-6620
Entity
Organization
Contact information
Practice address
1460 N GREEN ST, SUITE 100, BROWNSBURG, IN 46112-7487
(317) 852-6620
(317) 852-6680
Mailing address
1460 N GREEN ST, SUITE 100, BROWNSBURG, IN 46112-7487
(317) 852-6620
(317) 852-6680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010504A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437880A
—
IN
Enumeration date
11/01/2006
Last updated
08/05/2008
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