| Charlestown Road Dental, Llc | |
|
3739 Charlestown Rd New Albany IN 47150-9576 | |
| (812) 944-8756 | |
| Not Available |
| Full Name | Charlestown Road Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3739 Charlestown Rd, New Albany, Indiana |
| Authorized Official Name and Position | John Issac Mason (OWNER) |
| Authorized Official Contact | 5026365492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlestown Road Dental, Llc 3739 Charlestown Rd New Albany IN 47150-9576 Ph: (812) 944-8756 | Charlestown Road Dental, Llc 3739 Charlestown Rd New Albany IN 47150-9576 Ph: (812) 944-8756 |
| NPI Number | 1699958850 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699958850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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