Jack E Nicewander
Jack E Nicewander is a Dental Clinic/Center in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2015.
- Licensed in
- IN
- In the registry since
- 2015
Practice location Address checks out
5511 E 82nd St Ste FIndianapolis, IN 46250-4698
Phone: (317) 842-1903
Fax: (317) 849-8054
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 12007501A (IN) |
|---|
Record details
| NPI number | 1689067928 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Nicewander — Owner · (317) 842-1903 |
| NPI enumerated | March 11, 2015 |
| Last updated in NPPES | April 6, 2015 |
| Mailing address | 5511 E 82nd St, Ste F, Indianapolis, IN 46250-4698 |
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