IndividualActive
Iris Mcnicholl, DDS
NPI 1003914110 · Dentist · Indianapolis, IN
Iris Mcnicholl, DDS is a Dentist provider in Indianapolis, IN (NPI 1003914110).
Provider details
- NPI number
- 1003914110
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 12009732 (IN)
Practice location
1481 West 10th Street
Indianapolis, IN 46202
Phone: (317) 988-2733
Fax: (317) 988-5377
Street-level locationGet directions
Mailing address
1481 West 10th Street
Indianapolis, IN 46202
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2017-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.