Provider Demographics
NPI:1114439189
Name:NAREY, PIPER CAROL (DDS)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:CAROL
Last Name:NAREY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E MIAMI ST
Mailing Address - Street 2:
Mailing Address - City:ELLETTSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47429-1931
Mailing Address - Country:US
Mailing Address - Phone:812-300-0322
Mailing Address - Fax:812-333-3067
Practice Address - Street 1:1510 I ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-3836
Practice Address - Country:US
Practice Address - Phone:812-275-7785
Practice Address - Fax:812-275-8050
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009727A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN12009727OtherLICENSE