John Russell Phelps III, D.D.S., M.S.D.

Prosthodontics · Indianapolis, IN

Individual Active NPI

NPI number 1093786147

Practice location

9011 N Meridian St
Indianapolis, IN 46260-5301
Phone
(317) 818-9858
Fax
(317) 818-1716

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NPI record

NPI
1093786147
Entity type
Individual (Type 1)
Enumeration date
January 27, 2006
Last updated
November 6, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 12009486 IN

Mailing address

4609 Cranbrook Dr
Indianapolis, IN 46250-2434
Phone
(317) 595-0318

About Dr. Phelps

John Russell Phelps III, D.D.S., M.S.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 9011 N Meridian St, Indianapolis, IN 46260-5301. The NPI number 1093786147 was assigned on January 27, 2006 and the record was last updated on November 6, 2007.

Dr. Phelps lists a license in the registry: #12009486 (IN) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Russell Phelps III, D.D.S., M.S.D.?

The NPI number is 1093786147.

What is the phone number of Dr. Phelps?

The phone number listed for the practice location is (317) 818-9858.

Where is Dr. Phelps located?

9011 N Meridian St, Indianapolis, IN 46260-5301.

What is the taxonomy code for Dr. Phelps?

The primary taxonomy code is 1223P0700X – Prosthodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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