Organization
SPRING STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FAETH JORDAN (OFFICE MGR)
(812) 285-1006
Entity
Organization
Contact information
Practice address
1410 SPRING ST, JEFFERSONVILLE, IN 47130-3731
(812) 285-1006
(812) 285-1132
Mailing address
1410 SPRING ST, JEFFERSONVILLE, IN 47130-3731
(812) 285-1006
(812) 285-1132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2005
Last updated
08/22/2020
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