Provider Demographics
NPI:1326050717
Name:TEPNER, ARMIN MARKUS (DDS)
Entity Type:Individual
Prefix:
First Name:ARMIN
Middle Name:MARKUS
Last Name:TEPNER
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 1:8602 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-5443
Mailing Address - Country:US
Mailing Address - Phone:317-898-3384
Mailing Address - Fax:317-898-4944
Practice Address - Street 1:8602 E 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-5443
Practice Address - Country:US
Practice Address - Phone:317-898-3384
Practice Address - Fax:317-898-4944
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120086221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice