| Urgent Dental Center South Llc | |
|
8925 Madison Ave Ste C Indianapolis IN 46227-6257 | |
| (847) 894-0631 | |
| Not Available |
| Full Name | Urgent Dental Center South Llc |
|---|---|
| Speciality | Dentist |
| Location | 8925 Madison Ave Ste C, Indianapolis, Indiana |
| Authorized Official Name and Position | Rekha Chaudhari (OWNER) |
| Authorized Official Contact | 8478940631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Dental Center South Llc 8925 Madison Ave Ste C Indianapolis IN 46227-6257 Ph: (847) 894-0631 | Urgent Dental Center South Llc 8925 Madison Ave Ste C Indianapolis IN 46227-6257 Ph: (847) 894-0631 |
| NPI Number | 1023676178 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023676178 | NPI | - | NPPES |
| 201288294 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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