Montefalco, Philip M
Montefalco, Philip M is an individual health care provider with primary practice located at 8445 S Emerson Ave Suite 100, Indianapolis IN 46237-9596. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Montefalco, Philip M can be contacted via phone (317) 882-1284.Contact Information
Primary practice address
8445 S Emerson Ave Suite 100
Indianapolis IN 46237-9596
Phone: (317) 882-1284
Fax: (317) 887-0844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12009521A | Indiana |
Profile Details
| NPI number | 1437103017 |
|---|---|
| LBN Legal business name | Montefalco, Philip M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Aug 31st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437103017 | NPPES |
| Indiana | MEDICAID | 100336020 |
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