Cindy Kirby, DDS

Individual provider Active NPI General Practice Dentistry · Merrillville Bra, IN

NPI 1124243597 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124243597
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12008590B (IN)
Practice address
1000 E 80TH PL Ste 523
Merrillville Bra, IN 46410-5608
Phone
(219) 769-4246
Fax
(219) 769-4273
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12008590BINMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008590B IN Yes

Addresses

Primary practice location

1000 E 80TH PL Ste 523
Merrillville Bra, IN 46410-5608

Mailing address

1000 E 80TH Place Suite 523 South
Merrilliville, IN 46410
Phone (219) 769-4246

Other providers in Merrillville Bra, IN

All providers in Merrillville Bra, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.