Organization
TITUS DENTAL
Active
Other names
Middletown Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN WILLIAM TITUS D.D.S. (OWNER)
(765) 354-4796
Entity
Organization
Contact information
Practice address
4573 E STATE ROAD 236, MIDDLETOWN, IN 47356-9207
(765) 354-4796
(765) 354-4794
Mailing address
4573 E STATE ROAD 236, MIDDLETOWN, IN 47356-9207
(765) 354-4796
(765) 354-4794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011178
IN
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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