Organization
KEVIN P. TOLLIVER, D.D.S., P.C.
Active
Other names
COSMETIC AND FAMILY DENTISTRY BY DR. KEVIN TOLLIVER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PAUL TOLLIVER D.D.S. (PRESIDENT)
(317) 571-5000
Entity
Organization
Contact information
Practice address
8805 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-2332
(317) 571-5000
(317) 571-5010
Mailing address
8805 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-2332
(317) 571-5000
(317) 571-5010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007532
IN
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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