| Christopher W. Potee, Dds | |
|
340 Logan St Noblesville IN 46060-1432 | |
| (317) 776-0105 | |
| (317) 776-0348 |
| Full Name | Christopher W. Potee, Dds |
|---|---|
| Speciality | Dentist |
| Location | 340 Logan St, Noblesville, Indiana |
| Authorized Official Name and Position | Faith Moore (OFFICE MANAGER) |
| Authorized Official Contact | 3177760105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher W. Potee, Dds 340 Logan St Noblesville IN 46060-1432 Ph: (317) 776-0105 | Christopher W. Potee, Dds 340 Logan St Noblesville IN 46060-1432 Ph: (317) 776-0105 |
| NPI Number | 1588878326 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 11/25/2008 |
| Medicare PECOS PAC ID | 0547321432 |
|---|---|
| Medicare Enrollment ID | O20081210000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588878326 | NPI | - | NPPES |
| 200212660 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12009261 (Indiana) | Primary |
| Provider Name | Christopher W Potee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972561785 PECOS PAC ID: 9335114834 Enrollment ID: I20040828000182 |
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