Individual
DR. JOHN PAUL JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
710 AVERITT RD, SUITE C, GREENWOOD, IN 46143-6390
(317) 888-6111
Mailing address
710 AVERITT RD, SUITE C, GREENWOOD, IN 46143-6390
(317) 888-6111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
120117494A
IN
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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