Organization
FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA THOMPSON (INSURANCE MANAGER)
(812) 853-3313
Entity
Organization
Contact information
Practice address
10655 STATE ROAD 662, NEWBURGH, IN 47630
(812) 853-3313
(812) 858-0087
Mailing address
PO BOX 185, NEWBURGH, IN 47629-0185
(812) 853-3313
(812) 858-0087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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