Organization
CROWN HILL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS CLOYD DDS (MANAGING PARTNER)
(765) 832-7741
Entity
Organization
Contact information
Practice address
1792 E STATE HIGHWAY 163, CLINTON, IN 47842-0160
(765) 832-7741
(765) 832-7743
Mailing address
1792 E STATE ROAD 163, PO BOX 408, CLINTON, IN 47842-7327
(765) 832-7741
(765) 832-7743
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002436440A
—
IN
Enumeration date
06/27/2013
Last updated
06/27/2013
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