Organization
DCP OF INDIANA (LAFAYETTE SQUARE) PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ED MECKLER D.D.S. (CHAIRMAN OF THE BOARD)
(800) 487-4867
Entity
Organization
Contact information
Practice address
4050 LAFAYETTE RD, INDIANAPOLIS, IN 46254-2527
(317) 328-5905
(317) 328-8533
Mailing address
PO BOX 64-3011, CINCINNATI, OH 45264-0001
(317) 328-5905
(317) 328-8533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/27/2006
Last updated
09/11/2025
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