institution
Southport Smiles Family And Cosmetic Dentistry
Dental Clinic/Center in Indianapolis, Indiana
NPI 1457908667

Southport Smiles Family And Cosmetic Dentistry is a Dental Clinic/Center based in Indianapolis, IN and is specialized in Dental. Southport Smiles Family And Cosmetic Dentistry practices in Indianapolis, IN. The NPI Number for Southport Smiles Family And Cosmetic Dentistry is 1457908667 and holds a License No. (Indiana).

The current practice location address for Southport Smiles Family And Cosmetic Dentistry is 1505 E Southport Rd, Indianapolis, IN and can be reached out via phone at 317-784-2266.

Location: 1505 E Southport Rd, Indianapolis, IN, 46227-5303
institution
Provider Profile Details
NPI Number
1457908667
Provider Name
Southport Smiles Family And Cosmetic Dentistry
Credential
Provider Entity Type
Organization
Address
1505 E Southport Rd, Indianapolis, IN, 46227-5303
Phone Number
317-784-2266
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558498238 01 IN NPI
institution
Provider Business Practice Location Address Details
Address
1505 E Southport Rd
City
State
Zip
46227-5303
Phone Number
317-784-2266
Fax Number
person
Provider Business Mailing Address Details
Address
1505 E Southport Rd
City
State
Zip
46227-5303
Phone Number
317-784-2266
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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