Dr. John Russell Phelps III
Prosthodontist
9011 N Meridian St
Indianapolis
, Indiana 46260-5301
Dr. John Russell Phelps III
Prosthodontist
9011 N Meridian St
Indianapolis
, Indiana 46260-5301
(317) 595-0318
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. John Russell Phelps III
- 4609 Cranbrook Dr
- Indianapolis, IN
- Zip : 46250-2434
- Phone : (317) 595-0318
Second Address
- Dr. John Russell Phelps III
- 9011 N Meridian St
- Indianapolis, IN
- Zip : 46260-5301
- Fax : (317) 818-1716
- Phone : (317) 818-9858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 12009486 | IN |
National Provider Identifier
| NPI | 1093786147 |
|---|---|
| Provider Name | Dr. John Russell Phelps III |
| First Address | Indianapolis, IN 46250-2434 |
| Second Address | Indianapolis, IN 46260-5301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 06/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.