Individual
DR. JENNA R OBERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5406 S EMERSON AVE STE A, INDIANAPOLIS, IN 46237-1980
(317) 780-7777
Mailing address
110B N AVON AVE, AVON, IN 46123-8475
(317) 272-7206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12012117A
IN
1223G0001X
General Practice Dentistry
12012117A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012117A
IN
Other
Enumeration date
05/19/2014
Last updated
10/20/2022
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