| Thoman Dental Llc | |
|
4950 E Stop 11 Rd Ste A Indianapolis IN 46237-9104 | |
| (317) 865-1300 | |
| Not Available |
| Full Name | Thoman Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4950 E Stop 11 Rd Ste A, Indianapolis, Indiana |
| Authorized Official Name and Position | Carole E Thoman (OWNER) |
| Authorized Official Contact | 3177881300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thoman Dental Llc 32 N Main St Indianapolis IN 46227-5136 Ph: (317) 788-1300 | Thoman Dental Llc 4950 E Stop 11 Rd Ste A Indianapolis IN 46237-9104 Ph: (317) 865-1300 |
| NPI Number | 1013427350 |
|---|---|
| Provider Enumeration Date | 09/30/2017 |
| Last Update Date | 09/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013427350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12008095 (Indiana) | Primary |
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