Individual
PHILIP BRUCE LOCKHART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8202 CLEARVISTA PKWY, BLDG 4 SUITE C, INDIANAPOLIS, IN 46256-1430
(317) 849-9715
(317) 849-9833
Mailing address
8202 CLEARVISTA PKWY, BLDG 4 SUITE C, INDIANAPOLIS, IN 46256-1430
(317) 849-9715
(317) 849-9833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008708A
IN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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