NPI 1124130257 · live from the CMS NPI Registry
John T. Krull, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1124130257, active.
NPI record
| NPI | 1124130257 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8140 Knue Road, Suite 115, Indianapolis, IN 46250 |
| Practice phone | 317-842-8282 |
| Mailing address | 8140 Knue Rd., Suite 115, Indianapolis, IN 46250 |
| Enumerated | August 31, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 7357 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.