Organization
TURTLE TOWN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN UEBER DDS (PRESIDENT)
(260) 434-0777
Entity
Organization
Contact information
Practice address
210 W WHITLEY ST, CHURUBUSCO, IN 46723-1720
(260) 693-3921
(260) 693-1376
Mailing address
210 W WHITLEY ST, CHURUBUSCO, IN 46723-1720
(260) 693-3921
(260) 693-1376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12007976
IN
261QD0000X
Dental Clinic/Center
12010006
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447372362
—
IN
05
—
1992783294
—
IN
Enumeration date
07/19/2017
Last updated
07/21/2022
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