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

SOUTHPORT DENTAL, P.C.

Active Organization

SOUTHPORT DENTAL, P.C. is a General Dentistry organization located in INDIANAPOLIS, Indiana. NPI 1376767525 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · INDIANAPOLIS, IN

Registration Details

NPI Number
1376767525
Provider Type
Organization
NPI Issued
Apr 12, 2007 (19.341012471537 yrs)
Last Updated
Aug 22, 2020
License
12010416 (IN)

Practice Information

Address
8028 SOUTH EMERSON AVE
SUITE A
INDIANAPOLIS, IN, 462379301
Browse IN providers · Browse ZIP 46237
Phone
3178833300
Fax
3178893348
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.