Organization
IMMEDIADENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BEVER (NATIONAL MANAGER)
(317) 577-5758
Entity
Organization
Contact information
Practice address
8845 BOEHNING LANE, INDIANAPOLIS, IN 46219
(317) 899-1112
(317) 899-1117
Mailing address
6150 E 82ND ST, INDIANAPOLIS, IN 46250
(317) 577-5758
(317) 577-5753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010195
IN
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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