Healthcare Provider Details

I. General information

NPI: 1902327059
Provider Name (Legal Business Name): RESMER ORTHODONTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 PROSPERITY DR STE 500
NOBLESVILLE IN
46060-4322
US

IV. Provider business mailing address

16000 PROSPERITY DR STE 500
NOBLESVILLE IN
46060-4322
US

V. Phone/Fax

Practice location:
  • Phone: 317-774-8480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LISA FINN
Title or Position: OFFICE MANAGER
Credential:
Phone: 317-774-8480