Provider Demographics
NPI:1699408088
Name:AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - EAST INDIANAPOLIS III, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOFI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-897-8021
Mailing Address - Street 1:9749 E WASHINGTON ST STE A2
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-3035
Mailing Address - Country:US
Mailing Address - Phone:317-897-8021
Mailing Address - Fax:
Practice Address - Street 1:9749 E WASHINGTON ST STE A2
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-3035
Practice Address - Country:US
Practice Address - Phone:317-897-8021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty