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Individual

MICHAEL WIREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8240 NAAB RD STE 355, INDIANAPOLIS, IN 46260-1987
(317) 876-1095
(317) 875-7275
Mailing address
8240 NAAB RD STE 355, INDIANAPOLIS, IN 46260-1987
(317) 876-1095
(317) 875-7275

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013162A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12013162A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
12013162A
IN

Other

Enumeration date
05/28/2019
Last updated
03/02/2026
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