Organization
JAMES S BREUKER DDS & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SCOTT BREUKER DDS (OWNER DENTIST)
(219) 405-2453
Entity
Organization
Contact information
Practice address
511 W 11TH ST, BICKNELL, IN 47512-9628
(812) 220-0693
Mailing address
511 W 11TH ST, BICKNELL, IN 47512-9628
(219) 405-2453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444920
—
IN
Enumeration date
01/01/2021
Last updated
01/22/2021
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