Access Dental Associates
Organization Active NPI Dentist · Indianapolis, IN
NPI 1609130491 · NPPES record last updated Jun 27, 2012
Key facts
- NPI
- 1609130491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12009962A (IN)
- Legal business name
- ACCESS DENTAL ASSOCIATES
- Practice address
- 3750 N Meridian St
Suite 200
Indianapolis, IN 46208-4375 - Phone
- (317) 283-2255
- NPI assigned
- Jun 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Arnel J Gallanosa, DDS
- Title
- Owner/Dentist
- Phone
- (317) 506-2997
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Access Dental Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12009962A | IN | Yes |
Addresses
Primary practice location
3750 N Meridian St
Suite 200
Indianapolis, IN 46208-4375
Mailing address
3750 N Meridian St
Suite 200
Indianapolis, IN 46208-4375
Phone (317) 283-2255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200353150A | Medicaid | IN |
Other names
- Access Dental Care
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2012. 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.