Organization
MERIT DENTISTRY OF INDIANA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MOOS DDS (CEO)
(715) 318-2304
Entity
Organization
Contact information
Practice address
1015 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8010
(812) 437-1015
Mailing address
1015 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8010
(812) 437-1015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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