Organization
ALYSSA STICKLEY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA STICKLEY DDS (PRESIDENT)
(317) 850-2160
Entity
Organization
Contact information
Practice address
23 S COUNTY ROAD 200 E, DANVILLE, IN 46122-9317
(317) 345-8055
Mailing address
635 SUGARBUSH DR, ZIONSVILLE, IN 46077-1908
(317) 850-2160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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