Organization
SARA P. VIERNES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA P VIERNES DDS (OWNER)
(317) 329-7373
Entity
Organization
Contact information
Practice address
6820 PARKDALE PLACE, SUITE 117, INDIANAPOLIS, IN 46254-4699
(317) 329-7373
(317) 329-7380
Mailing address
6820 PARKDALE PLACE, SUITE 117, INDIANAPOLIS, IN 46254-4699
(317) 329-7373
(317) 329-7380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011023A
IN
1223G0001X
General Practice Dentistry
12010470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174715510
INDIVIDUAL NPI
IN
01
—
1619925955
INDIVIDUAL NPI
IN
05
—
200381910
—
IN
05
—
200869240
—
IN
Enumeration date
06/02/2008
Last updated
06/02/2008
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