Organization
ZIONSVILLE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANNEKEFFER MCHENRY DDS,MSD (PRESIDENT)
(317) 873-4186
Entity
Organization
Contact information
Practice address
55 BRENDON WAY, SUITE 500, ZIONSVILLE, IN 46077-1961
(317) 873-4186
(317) 873-1034
Mailing address
55 BRENDON WAY, SUITE 500, ZIONSVILLE, IN 46077-1961
(317) 873-4186
(317) 873-1034
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010176A
IN
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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