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Jeannie M Vickery, DDS
Prosthodontist in Indianapolis, Indiana
NPI 1265769780

Jeannie M Vickery is a Prosthodontist based in Indianapolis, IN and is specialized in Prosthodontics. Jeannie M Vickery practices in Indianapolis, IN and has the professional credentials of DDS. The NPI Number for Jeannie M Vickery is 1265769780 and holds a License No. 12007392A (Indiana).

The current practice location address for Jeannie M Vickery is 1121 W Michigan Street, Indianapolis, IN and can be reached out via phone at 317-278-3632 and via fax at 317-274-2603.

Location: 1121 W Michigan Street, Indianapolis, IN, 46202-5186
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Provider Profile Details
NPI Number
1265769780
Provider Name
Jeannie M Vickery
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1121 W Michigan Street, Indianapolis, IN, 46202-5186
Phone Number
317-278-3632
Fax Number
317-274-2603
Provider Enumeration Date
11/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12007392A 01 INDIANA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1121 W Michigan Street
City
State
Zip
46202-5186
Phone Number
317-278-3632
Fax Number
317-274-2603
person
Provider Business Mailing Address Details
Address
1121 W Michigan Street
City
State
Zip
46202-5186
Phone Number
317-278-3632
Fax Number
317-274-2603
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
License No.
12007392A (Indiana)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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