Individual
ELLEN S JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1619 W 86TH ST, INDIANAPOLIS, IN 46260-2105
(317) 872-5104
Mailing address
5019 HUNTINGTON DR, CARMEL, IN 46033-5935
(317) 569-1663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010292A
IN
Other
Enumeration date
12/04/2006
Last updated
12/16/2011
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