Organization
EAGLE CREEK DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREETINDERJIT SINGH DDS (DOCTOR/ OWNER)
(317) 295-1000
Entity
Organization
Contact information
Practice address
5685 LAFAYETTE RD, SUITE 100, INDIANAPOLIS, IN 46254-6170
(317) 295-1000
(317) 295-1005
Mailing address
5685 LAFAYETTE RD, SUITE 100, INDIANAPOLIS, IN 46254-6170
(317) 295-1000
(317) 295-1005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009533
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200277940A
—
IN
Enumeration date
11/19/2013
Last updated
11/19/2013
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