Whalio Doctors

NPI 1568542868

Amanda Kay Wiseman, DA

Practitioner Dental Assistant Indianapolis, IN

Practice location

Address
9443 E 38th St Dental Clinic, Indianapolis, IN 46235-2132
Phone
(317) 890-2131
Mailing address
7392 Pullman CT, Indianapolis, IN 46256-3910

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X

Registry record

NPI
1568542868
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Oct 2006
Record last updated
8 Jul 2007

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.