| Dental Oasis, P.c. | |
|
5957 W Broadway Mc Cordsville IN 46055-9355 | |
| (317) 402-8521 | |
| Not Available |
| Full Name | Dental Oasis, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5957 W Broadway, Mc Cordsville, Indiana |
| Authorized Official Name and Position | Kelli Ann Larrabee-dewell (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3174028521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Oasis, P.c. 5957 W Broadway Mc Cordsville IN 46055-9355 Ph: (317) 402-8521 | Dental Oasis, P.c. 5957 W Broadway Mc Cordsville IN 46055-9355 Ph: (317) 402-8521 |
| NPI Number | 1861782120 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861782120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010860A (Indiana) | Primary |