Organization
MFDC OF INDIANA, INC
Active
Other names
Gentle Dentist - Elletsville
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFP)
(502) 254-8500
Entity
Organization
Contact information
Practice address
3617 W STATE ROAD 46, BLOOMINGTON, IN 47404-9152
(812) 876-0007
(812) 876-0014
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
09/06/2023
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