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Organization
JEFFERSONVILLE COMMONS DENTAL
Active
Organization
JEFFERSONVILLE COMMONS DENTAL
Active
Other names
Spring Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ELIZABETH FAETH (OFFICE MANAGER)
(502) 718-1226
Entity
Organization
Contact information
Practice address
1019 JEFFERSONVILLE COMMONS DRIVE, JEFFERSONVILLE, IN 47130
(812) 302-3200
(812) 302-3222
Mailing address
1410 SPRING ST, JEFFERSONVILLE, IN 47130-3731
(502) 718-1226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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