Organization
JEFFERSONVILLE COMMONS DENTAL
Active
Other names
Spring Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ELIZABETH FAETH (OFFICE MANAGER)
(502) 718-1226
Entity
Organization
Contact information
Practice address
1019 JEFFERSONVILLE COMMONS DRIVE, JEFFERSONVILLE, IN 47130
(812) 302-3200
(812) 302-3222
Mailing address
1410 SPRING ST, JEFFERSONVILLE, IN 47130-3731
(502) 718-1226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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