Provider Demographics
NPI:1700578903
Name:ANTONY ALAPPATT, ANJESHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANJESHA
Middle Name:
Last Name:ANTONY ALAPPATT
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 1:7911 MICHIGAN RD STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1915
Mailing Address - Country:US
Mailing Address - Phone:317-991-4845
Mailing Address - Fax:317-991-4847
Practice Address - Street 1:8925 MADISON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-6235
Practice Address - Country:US
Practice Address - Phone:317-399-5771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014078A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice