| Dr Benjamin E Blakley Dds | |
|
6437 Rucker Rd 6437 Rucker Rd Indianapolis IN 46220 | |
| (317) 257-3799 | |
| Not Available |
| Full Name | Dr Benjamin E Blakley Dds |
|---|---|
| Speciality | Dentist |
| Location | 6437 Rucker Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Benjamin Earl Blakely (GENERAL DENTIST OWNER) |
| Authorized Official Contact | 3172573799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin E Blakley Dds 6437 Rucker Rd 6437 Rucker Rd Indianapolis IN 46220 Ph: (317) 257-3799 | Dr Benjamin E Blakley Dds 6437 Rucker Rd 6437 Rucker Rd Indianapolis IN 46220 Ph: (317) 257-3799 |
| NPI Number | 1275690166 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275690166 | NPI | - | NPPES |
| 100073160A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7840 (Indiana) | Primary |
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