Organization
ORTHODONTIC PARTNERS OF INDIANA, LLC
Active
Parent organization
ORTHODONTIC PARTNERS OF INDIANA, LLC
Other names
Gorman & Bunch Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHODONTIC PARTNERS OF INDIANA, LLC
Authorized official
STACY POPE (PROJECT MANAGER)
(616) 283-8867
Entity
Organization
Contact information
Practice address
5594 E 146TH ST STE 220, NOBLESVILLE, IN 46062-7071
(317) 815-9310
Mailing address
5300 PATTERSON AVE SE STE 110, GRAND RAPIDS, MI 49512-9758
(616) 283-8867
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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