Organization
LAFAYETTE PEDIATRIC DENTISTRY & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M SAMMONS DDS MSD (DENTIST)
(765) 447-6808
Entity
Organization
Contact information
Practice address
2347 CASON ST, LAFAYETTE, IN 47904-2670
(765) 447-6808
Mailing address
2347 CASON ST, LAFAYETTE, IN 47904-2670
(765) 447-6808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12006588A
IN
122300000X
Dentist
Primary
12009779A
IN
122300000X
Dentist
12011006A
IN
Other
Enumeration date
08/30/2010
Last updated
07/15/2020
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