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NPI Code Detail

MEDICARE: DR. DARIN BOYD ASHCRAFT DDS,MS

MEDICARE:  DR. DARIN BOYD ASHCRAFT  DDS,MS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry12009446IN

General Provider Information

NPI Number : 1639386857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARIN BOYD ASHCRAFT DDS,MS
Provider Business Mailing Address
First Line : 1225 PARKWAY DR
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1953
Country : US
Telephone Number : 317-873-3399
Fax Number : 317-873-3497
Provider Business Practice Location Address
First Line : 1225 PARKWAY DR
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1953
Country : US
Telephone Number : 317-873-3399
Fax Number : 317-873-3497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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