Organization
PEDIATRIC DENTISTRY NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L MORGAN DDS (PRESIDENT)
(317) 571-8000
Entity
Organization
Contact information
Practice address
8802 N MERIDIAN ST, SUITE 101, INDIANAPOLIS, IN 46260-5318
(317) 571-8000
(317) 571-4330
Mailing address
8802 N MERIDIAN ST, SUITE 101, INDIANAPOLIS, IN 46260-5318
(317) 571-8000
(317) 571-4330
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118640A
—
IN
Enumeration date
03/08/2007
Last updated
05/01/2008
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