SearchIndianaGeneral Practice Dentistry

Kim Diefenderfer, DMD, MS, MS

NPI 1932172459 · on the registry since 2006

Practice

Address
1121 W Michigan St
Indianapolis, IN 46202
Phone
(172) 743-7153
Organisation at this address
Indiana University
University Dental Service Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
162

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
IN, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana