Provider Demographics
NPI:1275186116
Name:PRESLEY, ELIZABETH KRISTINE (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KRISTINE
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 E 116TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3586
Mailing Address - Country:US
Mailing Address - Phone:317-848-1771
Mailing Address - Fax:
Practice Address - Street 1:1980 E 116TH ST STE 150
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3586
Practice Address - Country:US
Practice Address - Phone:317-848-1771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014498122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist