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Organization

BRAD SAMMONS DDS, PC

Active
Other names
Brad Sammons DDS, PC
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD SAMMONS DDS (DENTIST)
(317) 859-6768
Entity
Organization

Contact information

Practice address
8325 S EMERSON AVE, SUITE A-1, INDIANAPOLIS, IN 46237-8558
(317) 859-6768
(317) 859-0144
Mailing address
8325 S EMERSON AVE, SUITE A-1, INDIANAPOLIS, IN 46237-8558
(317) 859-6768
(317) 859-0144

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009371
IN

Other

Enumeration date
04/19/2013
Last updated
08/27/2013
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