Daniel Raymond Maddigan, DDS
Individual provider Active NPI General Practice Dentistry · Beech Grove, IN
NPI 1679799100 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679799100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12009033 (IN)
- Practice address
- 723 Main St
Beech Grove, IN 46107-1513 - Phone
- (317) 787-1361
- Fax
- (317) 788-7199
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12009033 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009033 | IN | Yes |
Addresses
Primary practice location
723 Main St
Beech Grove, IN 46107-1513
Mailing address
723 Main St
Beech Grove, IN 46107-1513
Phone (317) 787-1361
Other providers in Beech Grove, IN
- Patrick J Lotti
- Gennelle Katherine Lucid
- Lumivex Medical Billing LLC
- Kristen Lundy
- Lisa Katherine Mabie
- Robert Mara
- Leann R Matlik
- Katherine Grace McMinn
- Medivion Billing Services LLC
- Medixora Diagnostic Lab LLC
All providers in Beech Grove, IN · General Practice 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 Jul 8, 2007. 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.