Organization
SMILE GENERATORS P.C.
Active
Parent organization
DR. TODD W. WALTERS P.C,
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. TODD W. WALTERS P.C,
Authorized official
DR. TODD WALTERS D.D.S. (PRESIDENT/OWNER)
(317) 587-0100
Entity
Organization
Contact information
Practice address
4727 LISBORN DR, CARMEL, IN 46033-2201
(317) 587-0100
(317) 587-0200
Mailing address
4727 LISBORN DR, CARMEL, IN 46033-2201
(317) 587-0100
(317) 587-0200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12008831A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090710
—
IN
Enumeration date
10/10/2012
Last updated
10/10/2012
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