NPI Details | |
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NPI | 1164726832 |
Enumeration Date | 01/10/2011 |
Last Updated | 01/10/2011 |
Entity Type | Healthcare Provider |
Active | Over 7 years ago |
Authorized Information | |
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Name | STEPHEN C. STEPHEN |
Position | PERIODONTIST |
Phone | (317) 357-2235 |
Fax | (317) 357-2210 |
Practice Location | |
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115 N SHORTRIDGE RD STE 100 INDIANAPOLIS IN, 46219-4917, US |
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Phone | (317) 357-2235 |
Fax | (317) 357-2210 |
Business Location | |
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115 N SHORTRIDGE RD STE 100 INDIANAPOLIS IN, 46219-4917, US |
|
Phone | (317) 357-2235 |
Fax | (317) 357-2210 |
Toxanomy | |
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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.
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