Big Smiles Indiana, Inc.

NPI 1073758546 - Dentist - 122300000X

NPI Details
NPI 1073758546
Enumeration Date 12/11/2008
Last Updated 12/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ELLIOT P. ELLIOT
Position DENTAL DIRECTOR
Phone (888) 833-8441
Fax (888) 330-4331
Practice Location
133 W MARKET ST # 270
INDIANAPOLIS IN, 46204-2801, US
Phone (888) 833-8441
Fax (888) 330-4331
Business Location
33533 W 12 MILE RD
SUITE 150
FARMINGTON HILLS MI, 48331-3354, US
Phone (888) 833-8441
Fax (888) 330-4331
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12011244A
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According to our database, Big Smiles Indiana, Inc. NPI is 1073758546, taxonomy code is 122300000X and license number is 12011244A, license state is located at Indiana. Big Smiles Indiana, Inc. physically located at 133 W Market St # 270, Indianapolis IN, 46204-2801. NPI Number 1033115704 has the healthcare provider type.

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1073758546 NPI number is provided on an as is basis without warranty of any kind. 1073758546 is maintained by the National Plan & Provider Enumeration System. The contents of Big Smiles Indiana, Inc. are for informational purposes only.