| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 410 W Main St, Plainfield, Indiana |
| Authorized Official Name and Position | Reed Ellis Johnson (PRES OWNER) |
| Authorized Official Contact | 3178393502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
410 W Main St Plainfield IN 46168 Ph: (317) 839-3502 | 410 W Main St Plainfield IN 46168 Ph: (317) 839-3502 |
| NPI Number | 1801082656 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801082656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009024 (Indiana) | Primary |
Main Street Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Main Street, Suite 100, Plainfield, IN 46168 Phone: 317-839-5550 Fax: 317-839-5509 | |
Plainfield Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Edwards Dr Ste 124, Plainfield, IN 46168 Phone: 317-865-1193 | |
John G Blazic Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1655 Hawthorne Dr, Suite F & G, Plainfield, IN 46168 Phone: 317-839-4604 Fax: 317-837-2436 | |
Skip Cheesman Dds And Accociates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 Stafford Rd, Plainfield, IN 46168 Phone: 317-839-2088 | |
Plainfield Family Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Hawthorne Dr, Ste 100, Plainfield, IN 46168 Phone: 317-839-8684 Fax: 317-839-5864 | |