Provider Demographics
NPI:1902477391
Name:MITCHELL, ARIEL D (DDS, MSD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:D
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3965 W 106TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7782
Mailing Address - Country:US
Mailing Address - Phone:317-471-0100
Mailing Address - Fax:
Practice Address - Street 1:3965 W 106TH ST STE 150
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7782
Practice Address - Country:US
Practice Address - Phone:317-471-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013516A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics