Kevin A Deardorf D.D.S.,M.S.D.

NPI 1083655658 - Dentist - 1223E0200X

NPI Details
NPI 1083655658
Gender Male
Enumeration Date 06/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3750 GUION RD
SUITE 280
INDIANAPOLIS IN, 46222-7602, US
Phone (317) 924-3228
Fax
Business Location
3750 GUION RD
SUITE 280
INDIANAPOLIS IN, 46222-7602, US
Phone (317) 924-3228
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Indiana
License Number 12008684A
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According to our database, Kevin A Deardorf D.D.S.,M.S.D. NPI is 1083655658, taxonomy code is 1223E0200X and license number is 12008684A, license state is located at Indiana. Kevin A Deardorf D.D.S.,M.S.D. physically located at 3750 Guion Rd, Indianapolis IN, 46222-7602. NPI Number Kevin A Deardorf D.D.S.,M.S.D. has the Individual type.

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1083655658 NPI number is provided on an as is basis without warranty of any kind. 1083655658 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin A Deardorf D.D.S.,M.S.D. are for informational purposes only.