Organization
DENTAL ANESTHESIA OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A JOHNSON DDS (PRESIDENT & MANAGING OWNER)
(317) 534-2098
Entity
Organization
Contact information
Practice address
924 SILVER VALLEY CIR, GREENWOOD, IN 46142-9664
(317) 534-2098
(866) 884-6297
Mailing address
924 SILVER VALLEY CIR, GREENWOOD, IN 46142-9664
(317) 534-2098
(866) 884-6297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011007A
IN
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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