institution
Gary L Llewellyn Dds Llc
Customized Equipment (DME) in Indianapolis, Indiana
NPI 1477979300

Gary L Llewellyn Dds Llc is a Customized Equipment (DME) based in Indianapolis, IN and is specialized in Customized Equipment. Gary L Llewellyn Dds Llc practices in Indianapolis, IN. The NPI Number for Gary L Llewellyn Dds Llc is 1477979300 and holds a License No. 12008920 (Indiana).

The current practice location address for Gary L Llewellyn Dds Llc is 6211 W 30Th St, Indianapolis, IN and can be reached out via phone at 317-291-7550 and via fax at 317-291-1746.

Location: 6211 W 30Th St, Indianapolis, IN, 46224-3057
institution
Provider Profile Details
NPI Number
1477979300
Provider Name
Gary L Llewellyn Dds Llc
Credential
Provider Entity Type
Organization
Address
6211 W 30Th St, Indianapolis, IN, 46224-3057
Phone Number
317-291-7550
Fax Number
317-291-1746
Provider Enumeration Date
03/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12008920 01 IN DDS
institution
Provider Business Practice Location Address Details
Address
6211 W 30Th St
City
State
Zip
46224-3048
Phone Number
317-291-7550
Fax Number
317-291-1746
person
Provider Business Mailing Address Details
Address
6211 W 30Th St
City
State
Zip
46224-3048
Phone Number
317-291-7550
Fax Number
317-291-1746
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
12008920 (Indiana)
Definition
Definition to come...
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