Organization
CARMEL PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE T NICHOLS DDS (PEDIATRIC DENTIST)
(317) 846-3496
Entity
Organization
Contact information
Practice address
12174 N MERIDIAN ST STE 200, CARMEL, IN 46032-4578
(317) 846-3496
(317) 846-4497
Mailing address
12174 N MERIDIAN ST STE 200, CARMEL, IN 46032-4578
(317) 846-3496
(317) 846-4497
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497075501
—
IN
05
—
1578122354
—
IN
05
—
1780942060
—
IN
Enumeration date
12/18/2015
Last updated
03/25/2025
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