Provider Demographics
NPI:1316179658
Name:EDEN, NATALIE ANNE MUIR (DDS)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANNE MUIR
Last Name:EDEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:ANNE
Other - Last Name:MUIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10972 ALLISONVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2638
Mailing Address - Country:US
Mailing Address - Phone:317-845-7878
Mailing Address - Fax:317-570-7193
Practice Address - Street 1:10972 ALLISONVILLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2638
Practice Address - Country:US
Practice Address - Phone:317-845-7878
Practice Address - Fax:317-570-7193
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011329A1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery