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NPI Code Detail

MEDICARE: AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C.

MEDICARE: AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C.
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 Dentistry

General Provider Information

NPI Number : 1699408088
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C.
Provider Business Mailing Address
First Line : 9749 E WASHINGTON ST STE A2
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-3035
Country : US
Telephone Number : 317-897-8021
Fax Number :
Provider Business Practice Location Address
First Line : 9749 E WASHINGTON ST STE A2
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46229-3035
Country : US
Telephone Number : 317-897-8021
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAAD SOOFI
Credential : DDS
Telephone Number : 317-897-8021
Provider Enumeration Date : 07/05/2022
Last Update Date : 07/05/2022

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Directions to “AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C. ” Practice Location

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