| Meridian Dental Center Llc | |
|
2291 N Meridian St Indianapolis IN 46208-5727 | |
| (317) 926-5467 | |
| (317) 926-6022 |
| Full Name | Meridian Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2291 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Stephen A Trager (OWNER) |
| Authorized Official Contact | 3179265467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Dental Center Llc 2291 N Meridian St Indianapolis IN 46208-5727 Ph: (317) 926-5467 | Meridian Dental Center Llc 2291 N Meridian St Indianapolis IN 46208-5727 Ph: (317) 926-5467 |
| NPI Number | 1023316155 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 03/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023316155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010793A (Indiana) | Primary |
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