NPI 1871085167 · live from the CMS NPI Registry
Braces For U
Dentist, Orthodontics and Dentofacial Orthopedics in Fishers, IN. National Provider Identifier 1871085167, active.
NPI record
| NPI | 1871085167 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 9126 Technology Ln, Fishers, IN 46038 |
| Practice phone | 317-797-6688 |
| Mailing address | 4222 Kattman Ct, Carmel, IN 46074 |
| Enumerated | June 1, 2018 |
| Last updated | June 1, 2018 |
| Authorized official | Priti Mahajan, Orthodontist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12011584a (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.