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NPI Code Detail

MEDICARE: URGENT DENTAL CENTER WEST

MEDICARE: URGENT DENTAL CENTER WEST
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
1122300000XDentist12011643AIN

General Provider Information

NPI Number : 1215309018
Entity Type Code : Organization
Provider Name (Legal Business Name) : URGENT DENTAL CENTER WEST
Provider Business Mailing Address
First Line : 4930 LAFAYETTE RD STE O
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-1970
Country : US
Telephone Number : 317-559-5799
Fax Number :
Provider Business Practice Location Address
First Line : 4930 LAFAYETTE RD STE O
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-1970
Country : US
Telephone Number : 317-559-5799
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. REKHA CHAUDHARI
Credential : DDS
Telephone Number : 847-894-0631
Provider Enumeration Date : 10/20/2015
Last Update Date : 10/20/2016

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Directions to “URGENT DENTAL CENTER WEST ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.