Provider Demographics
NPI:1255488979
Name:ZIMPFER, BRETT ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:ARTHUR
Last Name:ZIMPFER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9502 ANGOLA CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3177
Mailing Address - Country:US
Mailing Address - Phone:317-872-3333
Mailing Address - Fax:317-872-3182
Practice Address - Street 1:9502 ANGOLA CT
Practice Address - Street 2:SUITE 1
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3177
Practice Address - Country:US
Practice Address - Phone:317-872-3333
Practice Address - Fax:317-872-3182
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009529A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN756715OtherUNITED CONCORDIA