Kevin A Deardorf
Endodontist
3750 Guion Rd Suite 280
Indianapolis
, Indiana 46222-7602
Kevin A Deardorf
Endodontist
3750 Guion Rd Suite 280
Indianapolis
, Indiana 46222-7602
(317) 924-3228
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Kevin A Deardorf
- 3750 Guion Rd Suite 280
- Indianapolis, IN
- Zip : 46222-7602
- Phone : (317) 924-3228
Second Address
- Kevin A Deardorf
- 3750 Guion Rd Suite 280
- Indianapolis, IN
- Zip : 46222-7602
- Phone : (317) 924-3228
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 12008684A | IN |
National Provider Identifier
| NPI | 1083655658 |
|---|---|
| Provider Name | Kevin A Deardorf |
| First Address | Indianapolis, IN 46222-7602 |
| Second Address | Indianapolis, IN 46222-7602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 08/07/2007 |
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.