John William Bailey Sr., D.D.S.
Individual provider Active NPI General Practice Dentistry · Indianapolis, IN
NPI 1801099221 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801099221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12006278 (IN)
- Practice address
- 2291 N Meridian St
Indianapolis, IN 46208-5727 - Phone
- (317) 926-5467
- Fax
- (317) 926-6022
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 12006278 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12006278 | IN | Yes |
Addresses
Primary practice location
2291 N Meridian St
Indianapolis, IN 46208-5727
Mailing address
2291 N Meridian St
Indianapolis, IN 46208-5727
Phone (317) 926-5467
Other providers in Indianapolis, IN
- James Robert Bailey
- Jasa Bailey
- Jennifer Michelle Bailey
- Jennifer Rae Bailey
- John W. Bailey Jr.
- Joseph Maxey Bailey
- Katherine B Bailey
- Kiara Bailey
- Michelle Lee Bailey
- Olga Bailey
All providers in Indianapolis, 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.