Organization
NORTHWOOD FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE ALLEN BAUMGARTNER D.D.S. (PRESIDENT)
(574) 773-7979
Entity
Organization
Contact information
Practice address
1001 N MAIN ST, SUITE TWO, NAPPANEE, IN 46550-1016
(574) 773-7979
(574) 773-7292
Mailing address
1001 N MAIN ST, SUITE TWO, NAPPANEE, IN 46550-1016
(574) 773-7979
(574) 773-7292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007757B
IN
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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