Provider Demographics
NPI:1861527848
Name:DARBRO, DONALD PAUL (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PAUL
Last Name:DARBRO
Suffix:
Gender:M
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 1:1901 BRECKENMORE DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1300
Mailing Address - Country:US
Mailing Address - Phone:317-888-6090
Mailing Address - Fax:317-885-0822
Practice Address - Street 1:1901 BRECKENMORE DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-1300
Practice Address - Country:US
Practice Address - Phone:317-888-6090
Practice Address - Fax:317-885-0822
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120072941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics