Atlanta Dental Clinic | |
29101 St Rd 19 Atlanta IN 46031 | |
(765) 292-2366 | |
(765) 292-2081 |
Full Name | Atlanta Dental Clinic |
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Speciality | Dentist - General Practice |
Location | 29101 St Rd 19, Atlanta, Indiana |
Authorized Official Name and Position | Fennis Bledsoe (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7652922366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atlanta Dental Clinic Po Box 186 Atlanta IN 46031 Ph: (765) 292-2366 | Atlanta Dental Clinic 29101 St Rd 19 Atlanta IN 46031 Ph: (765) 292-2366 |
NPI Number | 1790888170 |
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Provider Enumeration Date | 09/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1790888170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |