Provider Demographics
NPI:1659746816
Name:LAUCHER, CHELSEA MAE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:MAE
Last Name:LAUCHER
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 1:13190 HAZEL DELL PKWY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-8531
Mailing Address - Country:US
Mailing Address - Phone:317-706-1111
Mailing Address - Fax:317-706-8993
Practice Address - Street 1:13190 HAZEL DELL PKWY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-8531
Practice Address - Country:US
Practice Address - Phone:317-706-1111
Practice Address - Fax:317-706-8993
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012386A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist