Iris Corina Mcnicholl in Indianapolis - Dentist
Iris Corina Mcnicholl - NPI 1003914110
Iris Corina Mcnicholl is a Dentist in Indianapolis, Indiana. Iris Corina Mcnicholl practices all healthcare services and medical treatments related to Dentist. The NPI Number for Iris Corina Mcnicholl is 1003914110. The last update date is 2017-01-06.
Iris Corina Mcnicholl's current location address is 1481 West 10th Street, Indianapolis, Indiana. You can contact this provider via phone number 3179882733 and fax number 3179885377. The mailing address for Iris Corina Mcnicholl is 1481 West 10th Street, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iris Corina Mcnicholl |
|---|---|
| Address | 1481 West 10th Street, Indianapolis, Indiana |
| Phone Number | 3179882733 |
| Fax Number | 3179885377 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003914110 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2017-01-06 |
Provider Mailing Address Detail
| Address | 1481 West 10th Street |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46202 |
| Phone Number | 3179882733 |
| Fax Number | 3179885377 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009732 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200169270A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Iris Corina Mcnicholl by the Centers for Medicare & Medicaid Services?
The Iris Corina Mcnicholl has been issued the NPI (National Provider Identifier) 1003914110 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Iris Corina Mcnicholl?
The Iris Corina Mcnicholl is situated at 1481 West 10Th Street, in the city of Indianapolis, state of IN, with the zip code 46202.
What is Iris Corina Mcnicholl's area of expertise and its corresponding taxonomy classification?
The Iris Corina Mcnicholl's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Iris Corina Mcnicholl's 1003914110 issued?
The Iris Corina Mcnicholl's 1003914110 was issued on 2006-09-20.
As of what date was the information pertaining to Iris Corina Mcnicholl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Iris Corina Mcnicholl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-06.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY