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Individual

DR. JUAN F YEPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MD, MPH

Contact information

Practice address
705 RILEY HOSPITAL DR RM 4205, DEPARTMENT OF PEDIATRIC DENTISTRY, INDIANAPOLIS, IN 46202-5109
(317) 944-9601
Mailing address
705 RILEY HOSPITAL DR RM 4205, DEPARTMENT OF PEDIATRIC DENTISTRY, INDIANAPOLIS, IN 46202-5109
(317) 944-9601

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
057865
NY
1223P0221X
Pediatric Dentistry
12012166A
IN
1223P0221X
Pediatric Dentistry
Primary
8166
KY
1223P0221X
Pediatric Dentistry
D12322
MN
1223X0008X
Oral and Maxillofacial Radiology Dentistry
8166
KY
208D00000X
General Practice Physician
FL034
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60003191
KY
Enumeration date
09/25/2006
Last updated
08/11/2016
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