| Rockville Road Dentistry | |
|
6355 Rockville Road Indianapolis IN 46214 | |
| (317) 227-0581 | |
| (317) 227-0820 |
| Full Name | Rockville Road Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6355 Rockville Road, Indianapolis, Indiana |
| Authorized Official Name and Position | Frieda Cooke (PRESIDENT) |
| Authorized Official Contact | 3172270881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockville Road Dentistry 6355 Rockville Road Indianapolis IN 46214 Ph: (317) 227-0581 | Rockville Road Dentistry 6355 Rockville Road Indianapolis IN 46214 Ph: (317) 227-0581 |
| NPI Number | 1649380452 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649380452 | NPI | - | NPPES |
| 200194500A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009952 (Indiana) | Primary |
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