person
Sara Gholam, DMD
Pediatric Dentist in Indianapolis, Indiana
NPI 1194245225

Sara Gholam is a Pediatric Dentist based in Indianapolis, IN and is specialized in Pediatric Dentistry. Sara Gholam practices in Indianapolis, IN and has the professional credentials of DMD. The NPI Number for Sara Gholam is 1194245225 and holds a License No. LDR170182 (Indiana).

The current practice location address for Sara Gholam is 1121 W Michigan St Rm 280B, Indianapolis, IN and can be reached out via phone at 317-274-5348.

Location: 1121 W Michigan St Rm 280B, Indianapolis, IN, 46202-5211
person
Provider Profile Details
NPI Number
1194245225
Provider Name
Sara Gholam
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1121 W Michigan St Rm 280B, Indianapolis, IN, 46202-5211
Phone Number
317-274-5348
Fax Number
Provider Enumeration Date
06/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1121 W Michigan St Rm 280B
City
State
Zip
46202
Phone Number
317-274-5348
Fax Number
person
Provider Business Mailing Address Details
Address
1121 W Michigan St Rm 280B
City
State
Zip
46202
Phone Number
317-274-5348
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DS042216 (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
LDR170182 (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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