Individual
MICHAEL K VANEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1570 W HOSPITAL RD, PAOLI, IN 47454-9666
(812) 723-3959
(812) 723-3909
Mailing address
2821 N COUNTY ROAD 100 W, PAOLI, IN 47454-9623
(812) 723-4793
(812) 723-3909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007674A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194750
—
IN
Enumeration date
10/19/2006
Last updated
12/10/2010
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