| Bedford Dental Care, Pc | |
|
2906 Evergreen Dr Bedford IN 47421-5288 | |
| (812) 279-6455 | |
| (812) 279-0130 |
| Full Name | Bedford Dental Care, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2906 Evergreen Dr, Bedford, Indiana |
| Authorized Official Name and Position | Courtney Jill Blackwell (V-PRESIDENT) |
| Authorized Official Contact | 8122796455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Dental Care, Pc 2906 Evergreen Dr Bedford IN 47421-5288 Ph: (812) 279-6455 | Bedford Dental Care, Pc 2906 Evergreen Dr Bedford IN 47421-5288 Ph: (812) 279-6455 |
| NPI Number | 1093825135 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093825135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010140 (Indiana) | Primary |
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