Individual
SCOTT FEDERSPILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9201 N MERIDIAN ST, SUITE 101, INDIANAPOLIS, IN 46260-1852
(317) 580-1880
Mailing address
9201 N MERIDIAN ST, SUITE 101, INDIANAPOLIS, IN 46260-1852
(317) 580-1880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009349
IN
Other
Enumeration date
01/10/2007
Last updated
11/15/2012
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