NPI 1720529019

Waldemar Daudt Polido, DDSMSPHD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Indianapolis, IN

Practice location

Address: 1121 W Michigan St, Indianapolis, IN 46202-5211
Phone: (317) 278-3632

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 98001085A (IN)

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Registry record

NPI: 1720529019
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2017
Record last updated: 25 Aug 2025

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.