Provider Demographics
NPI:1053095406
Name:AFFORDABLE DENTURES & IMPLANTS - FISHERS, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - FISHERS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAROSH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMSI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:317-863-0408
Mailing Address - Street 1:8690 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9626
Mailing Address - Country:US
Mailing Address - Phone:317-863-0408
Mailing Address - Fax:
Practice Address - Street 1:8690 E 96TH ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9626
Practice Address - Country:US
Practice Address - Phone:317-863-0408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty