Organization
CHOICE DENTAL CENTRE OF GREENWOOD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE E LUMSDON DDS (PRES)
(317) 881-5200
Entity
Organization
Contact information
Practice address
8936 SOUTHPOINTE DRIVE, SUITE B 6, INDIANAPOLIS, IN 46227-7506
(317) 881-5200
(317) 881-9255
Mailing address
8936 SOUTHPOINTE DRIVE, SUITE B 6, INDIANAPOLIS, IN 46227-7506
(317) 881-5200
(317) 881-9255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009965
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1691652
UNITED CONCORDIA
IN
05
—
20051320A
—
IN
Enumeration date
03/12/2007
Last updated
08/22/2020
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