| Bourbon Family Dentistry | |
|
909 N Washington St Bourbon IN 46504-1447 | |
| (574) 342-4385 | |
| (574) 342-0461 |
| Full Name | Bourbon Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 909 N Washington St, Bourbon, Indiana |
| Authorized Official Name and Position | Nicole Lynn Christy (OWNER) |
| Authorized Official Contact | 5743424385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bourbon Family Dentistry 909 N Washington St Bourbon IN 46504-1447 Ph: (574) 342-4385 | Bourbon Family Dentistry 909 N Washington St Bourbon IN 46504-1447 Ph: (574) 342-4385 |
| NPI Number | 1033274071 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033274071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |