Organization
DENTAL PROFESSIONALS OF INDIANA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Other names
Promenade Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF INDIANA, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
5957 PROMENADE SHOPS BLVD STE 105, NOBLESVILLE, IN 46062-5620
(317) 900-4940
Mailing address
5957 PROMENADE SHOPS BLVD STE 105, NOBLESVILLE, IN 46062-5620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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