MEDICARE: VALERIE M EIBLING

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
1	122300000X	Dentist	12013173A	IN

General Provider Information

NPI Number	:	1902464357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE M EIBLING

Provider Business Mailing Address
First Line	:	7962 OAKLANDON RD STE 105
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-7502
Country	:	US
Telephone Number	:	317-823-1780
Fax Number	:

Provider Business Practice Location Address
First Line	:	7962 OAKLANDON RD STE 105
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-7502
Country	:	US
Telephone Number	:	317-823-1780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	11/03/2025

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Directions to “ VALERIE M EIBLING ” Practice Location

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