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Contact Information

WALDEMAR DAUDT POLIDO, DDS, MS, PHD
1121 W MICHIGAN ST
INDIANAPOLIS, IN46202-5211
 Phone: 317-278-3632
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WALDEMAR DAUDT POLIDO · (Male)

NPI Number 1720529019
Status Active
Credentials DDS, MS, PHD
Entity Individual
Enumeration date 03/20/2017
Last updated 08/25/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 98001085A
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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