Organization
A NEW SMILE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA JEAN NEW D.D.S. (OWNER/DENTIST)
(317) 888-6684
Entity
Organization
Contact information
Practice address
1700 W SMITH VALLEY RD STE C2, GREENWOOD, IN 46142-1589
(317) 888-6684
(317) 888-6687
Mailing address
1700 W SMITH VALLEY RD STE C2, GREENWOOD, IN 46142-1589
(317) 888-6684
(317) 888-6687
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010449 A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744673
UNITED CONCORDIA ID #
IN
05
—
200532750 A
—
IN
Enumeration date
10/02/2006
Last updated
05/22/2014
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