Organization
ASSOCIATES IN PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET C CLARK DDS (PARTNER)
(317) 271-9727
Entity
Organization
Contact information
Practice address
7830 ROCKVILLE RD, SUITE A, INDIANAPOLIS, IN 46214-3129
(317) 271-9727
(317) 273-2376
Mailing address
7830 ROCKVILLE RD, SUITE A, INDIANAPOLIS, IN 46214-3129
(317) 271-9727
(317) 273-2376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
12007616
IN
261QD0000X
Dental Clinic/Center
12008253
IN
261QD0000X
Dental Clinic/Center
Primary
12008748
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100087220
—
IN
05
—
100130230
—
IN
05
—
100440160C
—
IN
Enumeration date
12/09/2015
Last updated
12/09/2015
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