Organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Other names
Complete Dental at Government Center Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF INDIANA, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
402 W WASHINGTON ST RM W041, INDIANAPOLIS, IN 46204-2254
(317) 779-3579
Mailing address
402 W WASHINGTON ST RM W041, INDIANAPOLIS, IN 46204-2254
(317) 779-3579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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