Organization
FIELDS 20/20 DENTAL, LLC
Active
Parent organization
20-20 DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
20-20 DENTAL, LLC
Authorized official
DR. WILLIAM N MYERS D.D.S. (D.D.S.)
(317) 856-5050
Entity
Organization
Contact information
Practice address
6333 W THOMPSON RD, INDIANAPOLIS, IN 46221-3619
(317) 856-5050
(317) 856-5091
Mailing address
6333 W THOMPSON RD, INDIANAPOLIS, IN 46221-3619
(317) 856-5050
(317) 856-5091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008811A
IN
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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