Organization
NOBLESVILLE DENTAL ASSOCIATES LLC
Active
Parent organization
NOBLESVILLE DENTAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOBLESVILLE DENTAL ASSOCIATES LLC
Authorized official
DR. WAYNE T. KINNEY DDS (OWNER)
(317) 575-1120
Entity
Organization
Contact information
Practice address
17567 RIVER AVE., NOBLESVILLE, IN 46062
(317) 773-2983
(317) 773-2762
Mailing address
17567 RIVER AVE., NOBLESVILLE, IN 46062
(317) 773-2983
(317) 773-2762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008106A
IN
122300000X
Dentist
12012314A
IN
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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