Midwest Periodontal And Oral Reconstruction, P.c.
Periodontology Clinic
508 Indiana Ave, Indianapolis
Indiana, 46202-3106
317-269-0402 317-269-0405
Maps & DirectionsMidwest Periodontal And Oral Reconstruction, P.c. is a Periodontology Clinic in Indianapolis, Indiana. It is located at 508 Indiana Ave, Indianapolis, IN and its contact number is 317-269-0402. The authorized person for Midwest Periodontal And Oral Reconstruction, P.c. is Brigitte Mills
who is Director Of Business Affairs of the clinic and their contact number is 317-269-0402.
Midwest Periodontal And Oral Reconstruction, P.c. Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Midwest Periodontal And Oral Reconstruction, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Midwest Periodontal And Oral Reconstruction, P.c. |
| Specialization: | Periodontology |
| Clinic Address: | 508 Indiana Ave, Indianapolis,
Indiana, 46202-3106 |
| Phone: | 317-269-0402 |
| Fax: | 317-269-0405 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Brigitte Mills |
| Position: | Director Of Business Affairs |
| Contact Number: | 317-269-0402 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Midwest Periodontal And Oral Reconstruction, P.c. clinic are as mentioned below.
| NPI Number: | 1649359886 |
| NPI Enumeration Date: | 06 Nov, 2006 |
| NPI Last Update On: | 02 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Midwest Periodontal And Oral Reconstruction, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Periodontics | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200533430A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Midwest Periodontal And Oral Reconstruction, P.c.
508 Indiana Ave,
Indianapolis, Indiana |
| Zip: | 46202-3106 |
| Phone Number: | 317-269-0402 |
| Fax Number: | 317-269-0405 |
Patients can reach Midwest Periodontal And Oral Reconstruction, P.c. at
508 Indiana Ave, Indianapolis, Indiana or can
call to book an appointment on 317-269-0402.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.