Organization
DENTAL SLEEP MEDICINE OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH LANCE (FINANCIAL COORDINATOR)
(317) 585-0005
Entity
Organization
Contact information
Practice address
5625 CASTLE CREEK PARKWAY NORTH DRIVE, INDIANAPOLIS, IN 46250
(317) 585-0005
(317) 585-0006
Mailing address
5625 CASTLE CREEK PARKWAY NORTH DRIVE, INDIANAPOLIS, IN 46250
(317) 585-0005
(317) 585-0006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006427
IN
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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