| German Church Rd Family Dentistry | |
|
11020 E 10th St Ste A Indianapolis IN 46229-3710 | |
| (317) 898-9231 | |
| (317) 898-9245 |
| Full Name | German Church Rd Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11020 E 10th St Ste A, Indianapolis, Indiana |
| Authorized Official Name and Position | Diane Coombs (OFFICE MANAGER) |
| Authorized Official Contact | 3178989231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| German Church Rd Family Dentistry 11020 E 10th St Ste A Indianapolis IN 46229-3710 Ph: (317) 898-9231 | German Church Rd Family Dentistry 11020 E 10th St Ste A Indianapolis IN 46229-3710 Ph: (317) 898-9231 |
| NPI Number | 1386067627 |
|---|---|
| Provider Enumeration Date | 01/22/2014 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386067627 | NPI | - | NPPES |
| 100065700A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 120111490A (Indiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 12007959A (Indiana) | Primary |
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