| Broad Smile Dental | |
|
423 N Broad St Griffith IN 46319-2223 | |
| (219) 922-7870 | |
| (219) 922-8056 |
| Full Name | Broad Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 423 N Broad St, Griffith, Indiana |
| Authorized Official Name and Position | R Jason Schnepf (DENTIST) |
| Authorized Official Contact | 2199227870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Smile Dental 423 N Broad St Griffith IN 46319-2223 Ph: (219) 922-7870 | Broad Smile Dental 423 N Broad St Griffith IN 46319-2223 Ph: (219) 922-7870 |
| NPI Number | 1457573669 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457573669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010464A (Indiana) | Primary |
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