IndividualActive
Flavio De Alcantara Camejo, DDS
NPI 1053962654 · Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN
Provider details
- NPI number
- 1053962654
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDF230024 (IN)
Specialties & taxonomies
Dental Providers
Practice location
1121 W Michigan St
Indianapolis, IN 46202-5211
Phone: (317) 274-5111
Approximate (ZIP-level) locationGet directions
Mailing address
1121 W Michigan St
Indianapolis, IN 46202-5211
Additional practice locations (1)
- 550 University Blvd Ste 3195Indianapolis, IN 46202-5149Phone: (317) 274-7433
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.