Organization
SUPERB SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON L. WINTERS D.D.S. (OWNER/DENTIST)
(765) 932-5533
Entity
Organization
Contact information
Practice address
200 CONRAD HARCOURT WAY, RUSHVILLE, IN 46173-1100
(765) 932-5533
(765) 932-4569
Mailing address
200 CONRAD HARCOURT WAY, RUSHVILLE, IN 46173-1100
(765) 932-5533
(765) 932-4569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008162
IN
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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