| Advanced Dental Care Of Fortville, Llc | |
|
545 Vitality Dr Ste F Fortville IN 46040-1373 | |
| (317) 485-7000 | |
| Not Available |
| Full Name | Advanced Dental Care Of Fortville, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 545 Vitality Dr Ste F, Fortville, Indiana |
| Authorized Official Name and Position | Jack Summerlin (OWNER) |
| Authorized Official Contact | 7654857000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Of Fortville, Llc 545 Vitality Dr Ste F Fortville IN 46040-1373 Ph: (317) 485-7000 | Advanced Dental Care Of Fortville, Llc 545 Vitality Dr Ste F Fortville IN 46040-1373 Ph: (317) 485-7000 |
| NPI Number | 1205454014 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205454014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Indy Dental Group Fortville, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 E Broadway St, Fortville, IN 46040 Phone: 317-399-5513 | |
Fortville Family Denistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 S Main St, Fortville, IN 46040 Phone: 317-485-5251 |