Provider Demographics
NPI:1871318378
Name:HADLEY FAMILY DENTISTRY, INC
Entity type:Organization
Organization Name:HADLEY FAMILY DENTISTRY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-780-7777
Mailing Address - Street 1:5406 S EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-1970
Mailing Address - Country:US
Mailing Address - Phone:317-780-7777
Mailing Address - Fax:317-780-5849
Practice Address - Street 1:4560 OCEAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-0109
Practice Address - Country:US
Practice Address - Phone:317-900-1692
Practice Address - Fax:317-780-5849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty