Organization
DENISE A FLANAGAN DDS PC
Active
Other names
Oral & Maxillofacial Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE A FLANAGAN DDS (OWNER)
(317) 876-1095
Entity
Organization
Contact information
Practice address
8240 NAAB RD STE 355, INDIANAPOLIS, IN 46260-1987
(317) 876-1095
(317) 875-7275
Mailing address
8240 NAAB RD STE 355, INDIANAPOLIS, IN 46260-1987
(317) 876-1095
(317) 875-7275
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12009664A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200182630A
—
IN
Enumeration date
06/28/2012
Last updated
06/28/2012
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