Organization
COLUMBIA FAMILY DENTISTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M HUBERT DDS (OWNER)
(812) 476-9281
Entity
Organization
Contact information
Practice address
6231 E COLUMBIA ST, EVANSVILLE, IN 47715-4003
(812) 476-9281
(812) 491-3844
Mailing address
6231 E COLUMBIA ST, EVANSVILLE, IN 47715-4003
(812) 476-9281
(812) 491-3844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN8273
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508084328
—
IN
Enumeration date
12/17/2009
Last updated
12/17/2009
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