Organization
LIFETIME DENTAL CARE OF INDIANA, PC
Active
Parent organization
LIFETIME DENTAL CARE OF INDIANA, PC
Other names
Heartland Endodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF INDIANA, PC
Authorized official
KAM SHICK (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1090 S STATE ROAD 135, GREENWOOD, IN 46143-7367
(317) 882-8899
(317) 882-2260
Mailing address
1090 S STATE ROAD 135, GREENWOOD, IN 46143-7367
(317) 882-8899
(317) 882-2260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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