| Advanced Dental Care Of Anderson Llc | |
|
1612 E 53rd St Anderson IN 46013-2826 | |
| (765) 622-7000 | |
| Not Available |
| Full Name | Advanced Dental Care Of Anderson Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1612 E 53rd St, Anderson, Indiana |
| Authorized Official Name and Position | Jack Summerlin (OWNER) |
| Authorized Official Contact | 3174098819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Of Anderson Llc 11333 Mirador Ln Fishers IN 46037-8687 Ph: (317) 409-8819 | Advanced Dental Care Of Anderson Llc 1612 E 53rd St Anderson IN 46013-2826 Ph: (765) 622-7000 |
| NPI Number | 1952960916 |
|---|---|
| Provider Enumeration Date | 06/12/2019 |
| Last Update Date | 07/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952960916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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