| Generations in Dentistry PC | |
|
13331 Illinois St Carmel IN 46032-3018 | |
| (317) 573-4000 | |
| (317) 573-4000 |
| Full Name | Generations in Dentistry PC |
|---|---|
| Speciality | Dentist |
| Location | 13331 Illinois St, Carmel, Indiana |
| Authorized Official Name and Position | Kyle D Heflin (DENTIST PRESIDENT) |
| Authorized Official Contact | 3175734000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations in Dentistry PC 13331 Illinois St Carmel IN 46032-3018 Ph: (317) 573-4000 | Generations in Dentistry PC 13331 Illinois St Carmel IN 46032-3018 Ph: (317) 573-4000 |
| NPI Number | 1447415294 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447415294 | NPI | - | NPPES |
| 100389930 | Medicaid | IN | |
| 1922112945 | Other | IN | NPI |
| 1215041231 | Other | IN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008323A (Indiana) | Primary |
| 122300000X | Dentist | 120104078 (Indiana) | Secondary |
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