Organization
SEYMOUR FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINY L MANSFIELD (SECRETARY)
(812) 523-4545
Entity
Organization
Contact information
Practice address
201 W TIPTON ST, SEYMOUR, IN 47274-2345
(812) 523-4545
(812) 523-4546
Mailing address
201 W TIPTON ST, SEYMOUR, IN 47274-2345
(812) 523-4545
(812) 523-4546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010240A
IN
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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