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General NPI Number Information
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NPI Number | 1295060358
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Entity Type | Organization
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Legal Business Name | DENTAL SLEEP MEDICINE OF INDIANA CORPORATION
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 5625 CASTLE CREEK PARKWAY NORTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4304
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Country | US
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Telephone | 317-585-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 5625 CASTLE CREEK PARKWAY NORTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4304
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Country | US
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Telephone | 317-585-0008
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Fax | 317-585-0006
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD ALLEN SMITH
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Credential | D.D.S.
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Telephone | 317-253-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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