Southport Dental, P.c. is a Dental Clinic in Indianapolis, Indiana. It is located at 8028 South Emerson Ave, Suite A, Indianapolis, IN and its contact number is 317-883-3300. The authorized person for Southport Dental, P.c. is Dr. Ryan M Mills
who is Dentist of the clinic and their contact number is 317-883-3300. The primary license number for Southport Dental, P.c. is 12010416 (General Practice) in Indiana. Southport Dental, P.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southport Dental, 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:
Southport Dental, P.c.
Specialization:
General Practice Dentistry
Clinic Address:
8028 South Emerson Ave, Suite A, Indianapolis, Indiana, 46237-9301
Phone:
317-883-3300
Fax:
317-889-3348
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:
Dr. Ryan M Mills
Position:
Dentist
Contact Number:
317-883-3300
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 Southport Dental, P.c. clinic are as mentioned below.
NPI Number:
1376767525
NPI Enumeration Date:
12 Apr, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southport Dental, P.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
12010416
Indiana
Primary
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
1368963
Other
Indiana
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southport Dental, P.c. 8028 South Emerson Ave, Suite A Indianapolis, Indiana
Zip:
46237
Phone Number:
317-883-3300
Fax Number:
317-889-3348
Patients can reach Southport Dental, P.c. at 8028 South Emerson Ave, Suite A, Indianapolis, Indiana or can call to book an appointment on 317-883-3300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.