Organization
CHECK UPS DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREY HORTON DDS (OWNER/DENTIST)
(317) 545-5771
Entity
Organization
Contact information
Practice address
4456 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2251
(317) 545-5771
(317) 545-1678
Mailing address
4456 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2251
(317) 545-5771
(317) 545-1678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010607A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304660
—
IN
05
—
200499250
—
IN
Enumeration date
08/31/2007
Last updated
11/19/2012
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