| Emhardt Pediatric Dentistry Llc | |
|
1818 N Riley Hwy Ste B Shelbyville IN 46176-8572 | |
| (317) 507-3439 | |
| Not Available |
| Full Name | Emhardt Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1818 N Riley Hwy Ste B, Shelbyville, Indiana |
| Authorized Official Name and Position | John Ray Emhardt (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 3175073439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emhardt Pediatric Dentistry Llc 151 S East St Apt 309 Indianapolis IN 46202-4075 Ph: () - | Emhardt Pediatric Dentistry Llc 1818 N Riley Hwy Ste B Shelbyville IN 46176-8572 Ph: (317) 507-3439 |
| NPI Number | 1316463607 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 08/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316463607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12012171A (Indiana) | Primary |
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