Individual
DR. SKIPPER CURTIS CHEESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 N INDIANA ST, MOORESVILLE, IN 46158-1506
(317) 831-4240
(317) 831-4473
Mailing address
4649 HICKORY WOOD ROW, GREENWOOD, IN 46143-7450
(317) 422-8818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009459
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200209740A
—
IN
Enumeration date
09/22/2006
Last updated
07/09/2007
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