| Indy Dental Group Sleep, Llc | |
|
322 W. Main St Westfield IN 46074 | |
| (317) 399-5513 | |
| Not Available |
| Full Name | Indy Dental Group Sleep, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 322 W. Main St, Westfield, Indiana |
| Authorized Official Name and Position | Elizabeth B Lewis (VICE PRESIDENT) |
| Authorized Official Contact | 3176951218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Dental Group Sleep, Llc 322 W Main St Westfield IN 46074 Ph: (317) 399-5513 | Indy Dental Group Sleep, Llc 322 W. Main St Westfield IN 46074 Ph: (317) 399-5513 |
| NPI Number | 1568172864 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 9638527948 |
|---|---|
| Medicare Enrollment ID | O20231128000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568172864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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