Organization
NORTHSIDE ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H SLAVENS DDS, MSD (OWNER)
(317) 844-3396
Entity
Organization
Contact information
Practice address
1010 E 86TH ST, SUITE 15, INDIANAPOLIS, IN 46240-1868
(317) 844-3396
(317) 844-4776
Mailing address
1010 E 86TH ST, SUITE 15, INDIANAPOLIS, IN 46240-1868
(317) 844-3396
(317) 844-4776
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
54000837A
IN
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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