Provider Demographics
NPI:1558875849
Name:JULIE D. KINSLER, DDS, LLC
Entity Type:Organization
Organization Name:JULIE D. KINSLER, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KINSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-450-3977
Mailing Address - Street 1:311 KENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-2729
Mailing Address - Country:US
Mailing Address - Phone:765-659-2124
Mailing Address - Fax:
Practice Address - Street 1:311 KENTWOOD DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-2729
Practice Address - Country:US
Practice Address - Phone:765-659-2124
Practice Address - Fax:756-659-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011248A261QD0000X
IN12011248B261QD0000X
IN12008149A261QD0000X
IN12008149B261QD0000X
IN13007266A261QD0000X
IN13007099A261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental