Provider Demographics
NPI:1689961898
Name:RAMBERT, JABREA (DMD)
Entity Type:Individual
Prefix:DR
First Name:JABREA
Middle Name:
Last Name:RAMBERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 N MERIDIAN ST
Mailing Address - Street 2:APARTMENT 307
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-7701
Mailing Address - Country:US
Mailing Address - Phone:260-312-8535
Mailing Address - Fax:
Practice Address - Street 1:11630 OLIO RD STE 100
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7678
Practice Address - Country:US
Practice Address - Phone:317-288-4226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN42000408A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice