Individual
DR. NILES M HANSEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2010 WEST 86TH STREET, SUITE 110, INDIANAPOLIS, IN 46260
(317) 872-4637
(317) 872-0557
Mailing address
2010 WEST 86TH STREET, SUITE 110, INDIANAPOLIS, IN 46260
(317) 872-4637
(317) 872-0557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006831
IN
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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