Organization
MAIN STREET DENTAL CARE,LLC
Active
Other names
J. Gary Bischoff, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWANI SHARMA DDS (OWNER)
(317) 771-9244
Entity
Organization
Contact information
Practice address
642 E MAIN ST, BROWNSBURG, IN 46112-1423
(317) 771-9244
Mailing address
653 RIDGE GATE DR, BROWNSBURG, IN 46112-7801
(317) 771-9244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201259950
—
IN
Enumeration date
12/05/2018
Last updated
03/17/2021
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