Organization
GENERATIONS IN DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE D HEFLIN DDS (DENTIST PRESIDENT)
(317) 573-4000
Entity
Organization
Contact information
Practice address
13331 ILLINOIS ST, CARMEL, IN 46032-3018
(317) 573-4000
(317) 573-4000
Mailing address
13331 ILLINOIS ST, CARMEL, IN 46032-3018
(317) 573-4000
(317) 573-4118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008323A
IN
122300000X
Dentist
120104078
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389930
—
IN
01
—
1215041231
NPI
IN
01
—
1922112945
NPI
IN
Enumeration date
07/22/2008
Last updated
07/22/2008
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