Individual
MR. HARRY PAPADOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
888 SIM HODGIN PKWY, SUITE C, RICHMOND, IN 47374-1936
(765) 966-7537
(765) 966-0370
Mailing address
888 SIM HODGIN PKWY, SUITE C, RICHMOND, IN 47374-1936
(765) 966-7537
(765) 966-0370
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010966A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
01065709A
IN
Other
Enumeration date
11/02/2005
Last updated
08/19/2011
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