| Advanced Dental Llc | |
|
2955 Professional Ln Terre Haute IN 47802-3300 | |
| (812) 232-4664 | |
| (812) 234-5427 |
| Full Name | Advanced Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 2955 Professional Ln, Terre Haute, Indiana |
| Authorized Official Name and Position | Emeline T. Davis (DENTIST) |
| Authorized Official Contact | 8122324664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Llc 2955 Professional Ln Terre Haute IN 47802-3300 Ph: (812) 232-4664 | Advanced Dental Llc 2955 Professional Ln Terre Haute IN 47802-3300 Ph: (812) 232-4664 |
| NPI Number | 1790766483 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790766483 | NPI | - | NPPES |
| 100251550A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008723 (Indiana) | Primary |
| 122300000X | Dentist | 12009834 (Indiana) | Secondary |
| 122300000X | Dentist | 12010103 (Indiana) | Secondary |
Affordable Dentures -terre Haute,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 S Anton St, Terre Haute, IN 47803 Phone: 812-877-6724 | |
Access Dental Of Terre Haute Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3359 S Us Highway 41, Terre Haute, IN 47802 Phone: 812-645-4110 | |
Optim Dental -1 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3353 S Us Highway 41 Unit 3369, Terre Haute, IN 47802 Phone: 812-777-8777 | |
Prabhu Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 S Us Highway 41, Terre Haute, IN 47802 Phone: 812-238-3900 | |
Affordable Dentures & Implants - Terre Haute Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5404 E Bill Farr Dr, Terre Haute, IN 47803 Phone: 812-877-6724 | |
David E Cox Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 Holman St, Terre Haute, IN 47803 Phone: 812-232-2445 Fax: 812-232-2445 | |
Carl A. Smudde Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Lafayette Ave, Terre Haute, IN 47804 Phone: 812-466-9826 Fax: 812-466-1720 |