Organization
FISHERS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI RUMMELL (FRONT OFFICE COORDINATOR)
(317) 598-9898
Entity
Organization
Contact information
Practice address
9124 TECHNOLOGY DR, SUITE 100, FISHERS, IN 46038-3064
(317) 598-9898
(317) 596-9659
Mailing address
9124 TECHNOLOGY DR, SUITE 100, FISHERS, IN 46038-3064
(317) 598-9898
(317) 596-9659
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009305B
IN
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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