Organization
MARK J. FLANNAGAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOSEPH FLANNAGAN DDS (PRESIDENT)
(812) 547-3478
Entity
Organization
Contact information
Practice address
741 12TH ST., TELL CITY, IN 47586
(812) 547-3478
(812) 547-3479
Mailing address
741 12TH ST., TELL CITY, IN 47586
(812) 547-3478
(812) 547-3479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100203240A
—
IN
Enumeration date
12/20/2018
Last updated
12/20/2018
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