Individual
JASMINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2340 E 10TH ST, INDIANAPOLIS, IN 46201-2008
(317) 957-2450
Mailing address
1563 SIERRA SPGS, CARMEL, IN 46280-2710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013258A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034619
—
IN
Enumeration date
12/02/2019
Last updated
03/15/2024
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