Organization
CHARLES R. HUTTON D.D.S.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RANDALL HUTTON D.D.S. (PRESIDENT)
(574) 946-6820
Entity
Organization
Contact information
Practice address
201 E ADAMS ST, WINAMAC, IN 46996-1567
(574) 946-6820
(574) 946-4323
Mailing address
201 E ADAMS ST, WINAMAC, IN 46996-1567
(574) 946-6820
(574) 946-4323
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54000691A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210570A
—
IN
Enumeration date
08/15/2006
Last updated
03/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us