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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 IncInferred 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