Individual
DR. GLEN AJITH KARUNANAYAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS MSC
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
Mailing address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12014333A
IN
1223E0200X
Endodontics
68587
ZZ
Other
Enumeration date
09/27/2018
Last updated
06/17/2026
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