NPI 1013952696

Indy East Smiles Youth Dentistry LLC

Organisation General Practice Dentistry Indianapolis, IN

Practice location

Address: 5430 East Washington Street Suite 101, Indianapolis, IN 46219
Phone: (317) 322-1840
Fax: (615) 986-1705

Authorised official

Name: Helen K. Peterson
Title: Owner
Phone: (317) 322-1840

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1013952696
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 24 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.