Individual
DR. CHARLES POLAND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7526 E 82ND ST, SUITE 125, INDIANAPOLIS, IN 46256-1461
(317) 849-2606
(317) 579-8769
Mailing address
5625 CASTLE CREEK PKY N. DR., SUITE 125, INDIANAPOLIS, IN 46250-4304
(317) 849-2606
(317) 585-0006
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12006522
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056010
—
IN
Enumeration date
06/08/2006
Last updated
04/13/2011
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