Individual
DR. ANNE V GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1522 W MORRIS ST, INDIANAPOLIS, IN 46221-1629
(317) 957-2450
(317) 957-2463
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200918390
—
IN
Enumeration date
05/30/2008
Last updated
11/24/2014
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