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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEAST DENTAL GROUP

Active Organization

SOUTHEAST DENTAL GROUP is a General Dentistry organization located in INDIANAPOLIS, Indiana. NPI 1114031952 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · INDIANAPOLIS, IN

Registration Details

NPI Number
1114031952
Provider Type
Organization
NPI Issued
Aug 18, 2006 (20.004236767387 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
6020 SOUTHEASTERN AVE
INDIANAPOLIS, IN, 462035611
Browse IN providers · Browse ZIP 46203
Phone
3173591754
Fax
3173573663
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.