Poland, Charles

Poland, Charles is an individual health care provider with primary practice located at 7526 E 82Nd St Suite 125, Indianapolis IN 46256-1461. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Poland, Charles can be contacted via phone (317) 849-2606.

Contact Information

Primary practice address
7526 E 82Nd St Suite 125 Indianapolis IN 46256-1461
Phone: (317) 849-2606
Fax: (317) 579-8769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12006522 Indiana

Profile Details

NPI number 1891735759
LBN Legal business name Poland, Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 13th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891735759 NPPES
Indiana MEDICAID 100056010

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