Organization
JAMES C. MCALLISTER DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CLARENCE MCALLISTER DDS (PRESIDENT)
(317) 357-8548
Entity
Organization
Contact information
Practice address
135 N SHORTRIDGE RD, SUITE B-5, INDIANAPOLIS, IN 46219-4900
(317) 357-8548
(317) 357-8546
Mailing address
135 N SHORTRIDGE RD, SUITE B-5, INDIANAPOLIS, IN 46219-4900
(317) 357-8548
(317) 357-8546
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006764
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048150
—
IN
Enumeration date
07/23/2015
Last updated
07/23/2015
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