NPI 1497869614 · live from the CMS NPI Registry
Rebecca P Bolon, DDS MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Indianapolis, IN. National Provider Identifier 1497869614, active.
NPI record
| NPI | 1497869614 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 9311 N. Meridian St., Suite 200, Indianapolis, IN 46260 |
| Practice phone | 317-846-6107 |
| Enumerated | August 17, 2006 |
| Last updated | September 21, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12009069 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.