| Indy Dental Group Fortville, Inc. | |
|
727 E Broadway St Fortville IN 46040-1565 | |
| (317) 399-5513 | |
| Not Available |
| Full Name | Indy Dental Group Fortville, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 727 E Broadway St, Fortville, Indiana |
| Authorized Official Name and Position | Nancy Locke (ADMINISTRATOR) |
| Authorized Official Contact | 3173995513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Dental Group Fortville, Inc. 727 E Broadway St Fortville IN 46040-1565 Ph: (317) 399-5513 | Indy Dental Group Fortville, Inc. 727 E Broadway St Fortville IN 46040-1565 Ph: (317) 399-5513 |
| NPI Number | 1023896412 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023896412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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