IndividualActive
John Phelps, D.D.S., M.S.D.
NPI 1093786147 · Prosthodontics · Indianapolis, IN
Provider details
- NPI number
- 1093786147
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.D.S., M.S.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12009486 (IN)
Practice location
9011 N Meridian St
Indianapolis, IN 46260-5301
Phone: (317) 818-9858
Fax: (317) 818-1716
Mailing address
4609 Cranbrook Dr
Indianapolis, IN 46250-2434
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2007-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.