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NPI Code Detail

MEDICARE: ALINE ROGERIA FREIRE DE CASTILHO DDS, MSC, PHD

MEDICARE: ALINE ROGERIA FREIRE DE CASTILHO DDS, MSC, PHD
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
11223P0221XPediatric DentistryLDF230023IN

General Provider Information

NPI Number : 1164295267
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALINE ROGERIA FREIRE DE CASTILHO DDS, MSC, PHD
Provider Business Mailing Address
First Line : 2183 SEASONS SOUTH DR UNIT 303
Second Line :
City : CARMEL
State : IN
Zip : 46280-1655
Country : US
Telephone Number : 463-273-7030
Fax Number :
Provider Business Practice Location Address
First Line : 1121 W MICHIGAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5211
Country : US
Telephone Number : 317-274-7433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 06/11/2026

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