Individual
MARY ELMASRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9443 E 38TH ST, INDIANAPOLIS, IN 46235-2132
(317) 890-2100
(317) 890-2171
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013843A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12013843A
INDIANA STATE LICENSE
IN
Enumeration date
07/09/2022
Last updated
07/13/2026
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