Organization
SHANE T COPE DDS, PC
Active
Other names
Precision Periodontics & Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE COPE D.D.S., M.S.D. (PRESIDENT)
(317) 564-4820
Entity
Organization
Contact information
Practice address
10435 COMMERCE DRIVE, SUITE 120, CARMEL, IN 46032
(317) 564-4820
(317) 564-4822
Mailing address
10435 COMMERCE DRIVE, SUITE 120, CARMEL, IN 46032
(317) 564-4820
(317) 564-4822
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12011052A
IN
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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