| Main Street Dental Care,llc | |
|
642 E Main St Brownsburg IN 46112-1423 | |
| (317) 771-9244 | |
| Not Available |
| Full Name | Main Street Dental Care,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 642 E Main St, Brownsburg, Indiana |
| Authorized Official Name and Position | Ashwani Sharma (OWNER) |
| Authorized Official Contact | 3177719244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Care,llc 653 Ridge Gate Dr Brownsburg IN 46112-7801 Ph: (317) 771-9244 | Main Street Dental Care,llc 642 E Main St Brownsburg IN 46112-1423 Ph: (317) 771-9244 |
| NPI Number | 1770054520 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 4385051341 |
|---|---|
| Medicare Enrollment ID | O20210318002789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770054520 | NPI | - | NPPES |
| 201259950 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Ashwani Sharma |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1639465149 PECOS PAC ID: 3577865401 Enrollment ID: I20210318002455 |
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