Organization
ERIC T KAMMERER DDS PC
Active
Parent organization
ERIC T KRAMMERER DDS PC
Other names
Eric T. Kammerer, D.D.S., PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC T KRAMMERER DDS PC
Authorized official
DR. ERIC T KAMMERER DDS (OWNER)
(317) 356-2850
Entity
Organization
Contact information
Practice address
1754 N ARLINGTON AVE, INDIANAPOLIS, IN 46218-5126
(317) 356-2850
Mailing address
1754 N ARLINGTON AVE, INDIANAPOLIS, IN 46218-5126
(317) 356-2850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121850A
—
IN
Enumeration date
04/30/2018
Last updated
04/30/2018
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