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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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