Individual
GREG A ORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1530 KOSSUTH ST, LAFAYETTE, IN 47905-1561
(765) 447-0322
(765) 447-5731
Mailing address
740 DUNBAR CT, LAFAYETTE, IN 47905-8799
(765) 448-3302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008716A
IN
Other
Enumeration date
03/14/2007
Last updated
04/21/2011
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