Aldrich Pediatric Dentistry
Organization Active NPI Pediatric Dentistry · Indianapolis, IN
NPI 1447730692 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1447730692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 12011675A (IN)
- Legal business name
- ALDRICH PEDIATRIC DENTISTRY
- Practice address
- 10373 E County Road 100 N
Indianapolis, IN 46234-1250 - Phone
- (463) 701-5437
- Fax
- (463) 209-0482
- NPI assigned
- Aug 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Shannon Jones
- Title
- Front Office
- Phone
- (463) 701-5437
Practitioners 3
-
Jill Carson Aldrich, D.D.S.
-
Jordan Crowe, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | 12011675A | IN | Yes |
Addresses
Primary practice location
10373 E County Road 100 N
Indianapolis, IN 46234-1250
Mailing address
10373 E County Road 100 N
Indianapolis, IN 46234-1250
Phone (463) 701-5437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201097750A | Medicaid | IN |
Other providers in Indianapolis, IN
- Andrew W Alden
- Alexandra Alderdice
- Anne Alderfer
- Alexandra Alderson
- Christen Alderson
- Jill Carson Aldrich
- Kelly Aldrich
- Hali Christine Aldridge
- Daniel Paul Aldulescu
- Yasser Aldurra
All providers in Indianapolis, IN · Pediatric Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.