Southport Dental, PC
Southport Dental, PC provides General Practice Dentistry in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8028 S Emerson Ave Ste AIndianapolis, IN 46237-9301
Phone: (317) 883-3300
Fax: (317) 889-3348
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 12010416 (IN) |
|---|
Record details
| NPI number | 1376767525 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Mills — Dentist · (317) 883-3300 |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 8028 South Emerson Ave, Suite A, Indianapolis, IN 46237 |
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