Central Indiana Periodontics, Pc in Indianapolis - Dental
Central Indiana Periodontics, Pc - NPI 1831359470
Central Indiana Periodontics, Pc is a Dental in Indianapolis, Indiana. Central Indiana Periodontics, Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Central Indiana Periodontics, Pc is 1831359470. The last update date is 2017-05-01.
Central Indiana Periodontics, Pc's current location address is 8235 Country Village Dr, Indianapolis, Indiana. You can contact this provider via phone number 3172994731 and fax number 3173295054. The mailing address for Central Indiana Periodontics, Pc is 8235 Country Village Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Indiana Periodontics, Pc |
|---|---|
| Address | 8235 Country Village Dr, Indianapolis, Indiana |
| Phone Number | 3172994731 |
| Fax Number | 3173295054 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gomes Daniel |
| Credentials | DDS, MSD |
| Telephone Number | 3172994731 |
NPI Number Detail
| NPI Number | 1831359470 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2017-05-01 |
Provider Mailing Address Detail
| Address | 8235 Country Village Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46214 |
| Phone Number | 3172994731 |
| Fax Number | 3173295054 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 12010704A |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique identifier code issued to Central Indiana Periodontics, Pc by the Centers for Medicare & Medicaid Services?
The Central Indiana Periodontics, Pc has been assigned the NPI (National Provider Identifier) 1831359470. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Central Indiana Periodontics, Pc?
The Central Indiana Periodontics, Pc is physically situated at 8235 Country Village Dr, in the city of Indianapolis, state of IN, with the postal code 46214.
What is Central Indiana Periodontics, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Central Indiana Periodontics, Pc is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
On what date did the Central Indiana Periodontics, Pc receive the assignment of its 1831359470 from the Centers for Medicare & Medicaid Services?
The Central Indiana Periodontics, Pc was issued its 1831359470 by the Centers for Medicare & Medicaid Services on 2008-06-16.
As of what date were the Central Indiana Periodontics, Pc's details last updated?
The information pertaining to the Central Indiana Periodontics, Pc, including its address, specialty, and other details, was most recently updated on 2017-05-01.
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