Healthcare Provider Details

I. General information

NPI: 1093978140
Provider Name (Legal Business Name): TANET ADD SINCHAI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9860 WESTPOINT DR SUITE 200
INDIANAPOLIS IN
46256-3397
US

IV. Provider business mailing address

9860 WESTPOINT DR SUITE 200
INDIANAPOLIS IN
46256-3397
US

V. Phone/Fax

Practice location:
  • Phone: 317-849-3512
  • Fax: 317-849-6193
Mailing address:
  • Phone: 317-849-3512
  • Fax: 317-849-6193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12011170A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: