Charles R. Hutton D.d.s.,pc | |
201 E Adams St Winamac IN 46996-1567 | |
(574) 946-6820 | |
(574) 946-4323 |
Full Name | Charles R. Hutton D.d.s.,pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 201 E Adams St, Winamac, Indiana |
Authorized Official Name and Position | Charles Randall Hutton (PRESIDENT) |
Authorized Official Contact | 5749466820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles R. Hutton D.d.s.,pc 201 E Adams St Winamac IN 46996-1567 Ph: (574) 946-6820 | Charles R. Hutton D.d.s.,pc 201 E Adams St Winamac IN 46996-1567 Ph: (574) 946-6820 |
NPI Number | 1083727291 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 03/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083727291 | NPI | - | NPPES |
100210570A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 54000691A (Indiana) | Primary |