DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ESTHER RUSSTOM GHEBREMICHAEL DDS

MEDICARE: ESTHER RUSSTOM GHEBREMICHAEL DDS
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
1122300000XDentist12011343AIN

General Provider Information

NPI Number : 1801027297
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER RUSSTOM GHEBREMICHAEL DDS
Provider Business Mailing Address
First Line : 201 W 8TH ST
Second Line : SUITE 810
City : PUEBLO
State : CO
Zip : 81003-3038
Country : US
Telephone Number : 719-562-4447
Fax Number :
Provider Business Practice Location Address
First Line : 5430 E WASHINGTON ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-6446
Country : US
Telephone Number : 317-322-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2009
Last Update Date : 12/10/2010

Similar Medicare Providers

1174510127 — DR. KIMBERLY ROSE GATZIMOS MD
Practice Location Address:
5430 E WASHINGTON ST
INDIANAPOLIS, IN
46219-6446
Practice Phone: 317-969-7935
Practice Fax: 877-550-2158
1982672069 — DR. JEFFREY D BRECKENRIDGE MD
Practice Location Address:
5430 E WASHINGTON ST
INDIANAPOLIS, IN
46219-6446
Practice Phone: 317-969-7935
Practice Fax: 877-550-2158
1841361011 — KENNETH LEGAULT
Practice Location Address:
5430 E WASHINGTON ST
INDIANAPOLIS, IN
46219-6446
Practice Phone: 317-322-1840
Practice Fax:
1023189297 — JEREMIAH J FRASIER DDS
Practice Location Address:
5430 E WASHINGTON ST
INDIANAPOLIS, IN
46219-6446
Practice Phone: 317-322-1840
Practice Fax:
1144413576 — AMBER REID DDS
Practice Location Address:
5430 E WASHINGTON ST
INDIANAPOLIS, IN
46219-6446
Practice Phone: 317-322-1840
Practice Fax: 317-322-1842
1174849830 — DR. KENECHI FLORENCE UDEOZO DDS
Practice Location Address:
5430 E WASHINGTON ST
INDIANAPOLIS, IN
46219-6446
Practice Phone: 317-322-1840
Practice Fax: 317-322-1842

Directions to “ ESTHER RUSSTOM GHEBREMICHAEL DDS” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.