Organization
GREAT SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN CABBELL DDS (OFFICER)
(317) 361-2745
Entity
Organization
Contact information
Practice address
4200 S EAST ST, INDIANAPOLIS, IN 46227-1534
(317) 787-1320
Mailing address
4200 S EAST ST, INDIANAPOLIS, IN 46227-1534
(317) 787-1320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010607A
IN
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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