Indy East Periodontics Pc

NPI 1164726832 - Dentist - 1223P0300X

NPI Details
NPI 1164726832
Enumeration Date 01/10/2011
Last Updated 01/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STEPHEN C. STEPHEN
Position PERIODONTIST
Phone (317) 357-2235
Fax (317) 357-2210
Practice Location
115 N SHORTRIDGE RD STE 100
INDIANAPOLIS IN, 46219-4917, US
Phone (317) 357-2235
Fax (317) 357-2210
Business Location
115 N SHORTRIDGE RD STE 100
INDIANAPOLIS IN, 46219-4917, US
Phone (317) 357-2235
Fax (317) 357-2210
Toxanomy
Taxonomy Code 1223P0300X
License State
License Number
Remove 1164726832 NPI Number
 

According to our database, Indy East Periodontics Pc NPI is 1164726832, taxonomy code is 1223P0300X Indy East Periodontics Pc physically located at 115 N Shortridge Rd Ste 100, Indianapolis IN, 46219-4917. NPI Number 1033115704 has the healthcare provider type.

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1164726832 NPI number is provided on an as is basis without warranty of any kind. 1164726832 is maintained by the National Plan & Provider Enumeration System. The contents of Indy East Periodontics Pc are for informational purposes only.