Hendricks Pediatric Dentistry | |
1411 S Green St Suite #110 Brownsburg IN 46112-2049 | |
(317) 852-8113 | |
(317) 852-8115 |
Full Name | Hendricks Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1411 S Green St, Brownsburg, Indiana |
Authorized Official Name and Position | John R. Wells (PRESIDENT) |
Authorized Official Contact | 3178528113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hendricks Pediatric Dentistry 1411 S Green St Suite #110 Brownsburg IN 46112-2049 Ph: (317) 852-8113 | Hendricks Pediatric Dentistry 1411 S Green St Suite #110 Brownsburg IN 46112-2049 Ph: (317) 852-8113 |
NPI Number | 1013954726 |
---|---|
Provider Enumeration Date | 06/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013954726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 12009997 (Indiana) | Primary |
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