Provider Demographics
NPI:1356565337
Name:FLETCHER, CHARI (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARI
Middle Name:
Last Name:FLETCHER
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 1:9855 CROSSPOINT BLVD
Mailing Address - Street 2:SUITE 144
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3355
Mailing Address - Country:US
Mailing Address - Phone:317-841-7880
Mailing Address - Fax:317-577-6188
Practice Address - Street 1:9855 CROSSPOINT BLVD
Practice Address - Street 2:SUITE 144
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-3355
Practice Address - Country:US
Practice Address - Phone:317-841-7880
Practice Address - Fax:317-577-6188
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010002A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist