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884 W Jefferson St Franklin IN 46131-2120 | |
| (317) 736-9546 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 884 W Jefferson St, Franklin, Indiana |
| Authorized Official Name and Position | Nathan A. Corn (OWNER) |
| Authorized Official Contact | 3177369546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
884 W Jefferson St Franklin IN 46131-2120 Ph: (317) 736-9546 | 884 W Jefferson St Franklin IN 46131-2120 Ph: (317) 736-9546 |
| NPI Number | 1063941714 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063941714 | NPI | - | NPPES |
| 201243550 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012165A (Indiana) | Primary |
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