Samuel Albert Tancredi
Oral and Maxillofacial Surgeon
9240 N Meridian St Ste. 300
Indianapolis
, Indiana 46260-1880
Samuel Albert Tancredi
Oral and Maxillofacial Surgeon
9240 N Meridian St Ste. 300
Indianapolis
, Indiana 46260-1880
(317) 913-2360
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Samuel Albert Tancredi
- 10972 Allisonville Rd Suite 110
- Fishers, IN
- Zip : 46038-2637
- Fax : (317) 913-2360
- Phone : (317) 913-2363
Second Address
- Samuel Albert Tancredi
- 9240 N Meridian St Ste. 300
- Indianapolis, IN
- Zip : 46260-1880
- Fax : (317) 846-8566
- Phone : (317) 846-7377
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 12010688A | IN |
National Provider Identifier
| NPI | 1073783478 |
|---|---|
| Provider Name | Samuel Albert Tancredi |
| First Address | Fishers, IN 46038-2637 |
| Second Address | Indianapolis, IN 46260-1880 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2008 |
| Last Update Date | 31/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200895780 | (05) | IN |
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.