| Smile Generators P.c. | |
|
4727 Lisborn Dr Carmel IN 46033-2201 | |
| (317) 587-0100 | |
| (317) 587-0200 |
| Full Name | Smile Generators P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4727 Lisborn Dr, Carmel, Indiana |
| Authorized Official Name and Position | Todd Walters (PRESIDENT/OWNER) |
| Authorized Official Contact | 3175870100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Generators P.c. 4727 Lisborn Dr Carmel IN 46033-2201 Ph: (317) 587-0100 | Smile Generators P.c. 4727 Lisborn Dr Carmel IN 46033-2201 Ph: (317) 587-0100 |
| NPI Number | 1427300797 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427300797 | NPI | - | NPPES |
| 100090710 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12008831A (Indiana) | Primary |
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