NPI 1689790552 · live from the CMS NPI Registry
Indiana University
Dentist, General Practice in Indianapolis, IN. National Provider Identifier 1689790552, active.
NPI record
| NPI | 1689790552 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1121 W Michigan St, Indianapolis, IN 46202 |
| Practice phone | 317-274-7433 |
| Enumerated | March 22, 2007 |
| Last updated | February 24, 2023 |
| Authorized official | Tina Foster, Assistant Director Of Revenue Cycle |
| Other names | Indiana University School Of Dentistry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics | 1223E0200X | — |
| Dentist, Periodontics | 1223P0300X | — |
| Dentist, Prosthodontics | 1223P0700X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Orofacial Pain | 1223X2210X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.