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NPI Code Detail

MEDICARE: JOHN CORIDON TRANTER

MEDICARE: JOHN CORIDON TRANTER
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
11223G0001XGeneral Practice Dentistry12015019AIN

General Provider Information

NPI Number : 1730011750
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN CORIDON TRANTER
Provider Business Mailing Address
First Line : 7411 BRAMBLEWOOD LN
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-9716
Country : US
Telephone Number : 260-255-8115
Fax Number :
Provider Business Practice Location Address
First Line : 3195 W FAIRVIEW RD STE B
Second Line :
City : GREENWOOD
State : IN
Zip : 46142-8499
Country : US
Telephone Number : 260-255-8115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JOHN CORIDON TRANTER ” Practice Location

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