NPI 1003914110

Iris Corina McNicholl, DDS

Practitioner Dentist Indianapolis, IN

Practice location

Address: 1481 West 10th Street, Indianapolis, IN 46202
Phone: (317) 988-2733
Fax: (317) 988-5377

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12009732 (IN)

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Registry record

NPI: 1003914110
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 6 Jan 2017

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.