Individual
JAIME L. ORRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
705 RILEY HOSPITAL DR RM 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-3865
(317) 944-9653
Mailing address
705 RILEY HOSPITAL DR RM 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-3865
(317) 944-9653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006029315
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-1653349
TAX ID #
MO
Enumeration date
12/13/2006
Last updated
07/09/2014
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