| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Park Place, Mishawaka, Indiana |
| Authorized Official Name and Position | Matthew Steele Brennan (DENTIST OWNER) |
| Authorized Official Contact | 5742599956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
330 Park Place Mishawaka IN 46545 Ph: (574) 259-9956 | 330 Park Place Mishawaka IN 46545 Ph: (574) 259-9956 |
| NPI Number | 1316092190 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316092190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Miracle Lane Family Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2332 Miracle Ln, Mishawaka, IN 46545 Phone: 574-259-5437 Fax: 574-259-5438 | |
Lotus Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6502 Grape Rd Ste 882, Mishawaka, IN 46545 Phone: 574-345-0345 Fax: 574-345-0344 | |
Jeffrey S. Feltzer, Dmd, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Lincolnway W, Mishawaka, IN 46544 Phone: 574-255-5630 | |
Brian D Eberhart Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 N Main St, Mishawaka, IN 46545 Phone: 574-258-4344 | |
James M. Burkart Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13432 Mckinley Hwy, Mishawaka, IN 46545 Phone: 574-255-0035 Fax: 574-255-7786 |