institution
Jack E Nicewander
Dental Clinic/Center in Indianapolis, Indiana
NPI 1689067928

Jack E Nicewander is a Dental Clinic/Center based in Indianapolis, IN and is specialized in Dental. Jack E Nicewander practices in Indianapolis, IN. The NPI Number for Jack E Nicewander is 1689067928 and holds a License No. 12007501A (Indiana).

The current practice location address for Jack E Nicewander is 5511 E 82Nd St, Indianapolis, IN and can be reached out via phone at 317-842-1903 and via fax at 317-849-8054.

Location: 5511 E 82Nd St, Indianapolis, IN, 46250-4698
institution
Provider Profile Details
NPI Number
1689067928
Provider Name
Jack E Nicewander
Credential
Provider Entity Type
Organization
Address
5511 E 82Nd St, Indianapolis, IN, 46250-4698
Phone Number
317-842-1903
Fax Number
317-849-8054
Provider Enumeration Date
03/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5511 E 82Nd St
City
State
Zip
46250-4698
Phone Number
317-842-1903
Fax Number
317-849-8054
person
Provider Business Mailing Address Details
Address
5511 E 82Nd St
City
State
Zip
46250-4698
Phone Number
317-842-1903
Fax Number
317-849-8054
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
12007501A (Indiana)
Definition
Definition to come...
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