=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780381814
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NADIA HELENE PRITCHARD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/09/2023
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10373 E COUNTY ROAD 100 N
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46234-1250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 463-701-5437
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2041 JASPER BROOK CT
-----------------------------------------------------
City | WHITESTOWN
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46075-0457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-331-9922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number | 12014172A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------