Individual
DR. MICHELLE TISSOT EBEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
973 EMERSON PKWY, SUITE A, GREENWOOD, IN 46143-6906
(317) 883-3368
(317) 883-3120
Mailing address
973 EMERSON PKWY, SUITE A, GREENWOOD, IN 46143-6906
(317) 883-3368
(317) 883-3120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010147A
IN
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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