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NPI Code Detail

MEDICARE: CARINGSMILES 4U2 LLC

MEDICARE: CARINGSMILES 4U2 LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12011023AIN

General Provider Information

NPI Number : 1124436498
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARINGSMILES 4U2 LLC
Provider Business Mailing Address
First Line : 4615 LAFAYETTE RD
Second Line : SUITE B
City : INDIANAPOLIS
State : IN
Zip : 46254-2035
Country : US
Telephone Number : 317-968-9700
Fax Number : 317-968-9701
Provider Business Practice Location Address
First Line : 7911 MICHIGAN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1915
Country : US
Telephone Number : 317-968-9700
Fax Number : 317-968-9701
Authorized Official
Title or Position : OWNER/DENTIST
Name : JUANITA R TAYLOR
Credential : DDS
Telephone Number : 317-968-9700
Provider Enumeration Date : 07/30/2014
Last Update Date : 04/16/2015

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Directions to “CARINGSMILES 4U2 LLC ” Practice Location

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