institution
Wiley Pediatric Dentistry, Llc
Pediatric Dentist in Indianapolis, Indiana
NPI 1902457039

Wiley Pediatric Dentistry, Llc is a Pediatric Dentist based in Indianapolis, IN and is specialized in Pediatric Dentistry. Wiley Pediatric Dentistry, Llc practices in Indianapolis, IN. The NPI Number for Wiley Pediatric Dentistry, Llc is 1902457039 and holds a License No. (Indiana).

The current practice location address for Wiley Pediatric Dentistry, Llc is 6211 W 30Th St Ste D, Indianapolis, IN and can be reached out via phone at 317-299-0353.

Location: 6211 W 30Th St Ste D, Indianapolis, IN, 46224-3057
institution
Provider Profile Details
NPI Number
1902457039
Provider Name
Wiley Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
6211 W 30Th St Ste D, Indianapolis, IN, 46224-3057
Phone Number
317-299-0353
Fax Number
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12012708A 01 IN IN DENTAL LICENSE
300003242 05 IN
1629161518 01 IN NPI TYPE 1
12009076A 01 IN IN DENTAL LICENSE
1790213098 01 IN NPI TYPE 1
300015869 05 IN
institution
Provider Business Practice Location Address Details
Address
6211 W 30Th St Ste D
City
State
Zip
46224-3057
Phone Number
317-299-0353
Fax Number
person
Provider Business Mailing Address Details
Address
6211 W 30Th St Ste D
City
State
Zip
46224-3057
Phone Number
317-299-0353
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
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.
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