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Organization
SPAULDINGS DENTAL OFFICE
Active
Organization
SPAULDINGS DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R SPAULDING DDS (OWNER)
(812) 265-2752
Entity
Organization
Contact information
Practice address
220 W 3RD ST, MADISON, IN 47250-3339
(812) 265-2752
Mailing address
220 W 3RD ST, MADISON, IN 47250-3339
(812) 265-2752
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12008039
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109383805X
—
IN
Enumeration date
07/24/2015
Last updated
07/24/2015
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