| Advantage Dental | |
|
170 S Creasy Ln Ste 1730 Lafayette IN 47905-0759 | |
| (765) 913-9070 | |
| Not Available |
| Full Name | Advantage Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 170 S Creasy Ln Ste 1730, Lafayette, Indiana |
| Authorized Official Name and Position | James R Weaver (PRESIDENT) |
| Authorized Official Contact | 2082840054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental 3974 Bell Ct Nampa ID 83686-1411 Ph: (208) 284-0054 | Advantage Dental 170 S Creasy Ln Ste 1730 Lafayette IN 47905-0759 Ph: (765) 913-9070 |
| NPI Number | 1437435781 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437435781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011732A (Indiana) | Primary |
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