Organization
BAILEY FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROBERT BAILEY D.D.S. (PRESIDENT)
(317) 272-9703
Entity
Organization
Contact information
Practice address
97 DOVER ST, SUITE 500, AVON, IN 46123-7380
(317) 272-9703
Mailing address
97 DOVER ST, SUITE 500, AVON, IN 46123-7380
(317) 272-9703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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