Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 12008611A | IN |
NPI | 1043335730 |
---|---|
Provider Name | Dr. O H Rigsbee III |
First Address | Carmel, IN 46032-1456 |
Second Address | Carmel, IN 46032-1456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |