Crown Hill Dentistry | |
1792 E State Road 163 Clinton IN 47842-7327 | |
(765) 832-7741 | |
(765) 832-7743 |
Full Name | Crown Hill Dentistry |
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Speciality | Dentist |
Location | 1792 E State Road 163, Clinton, Indiana |
Authorized Official Name and Position | Brittany D Gooding (OWNER) |
Authorized Official Contact | 7658327741 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crown Hill Dentistry Po Box 408 Clinton IN 47842-0408 Ph: (765) 832-7741 | Crown Hill Dentistry 1792 E State Road 163 Clinton IN 47842-7327 Ph: (765) 832-7741 |
NPI Number | 1952757379 |
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Provider Enumeration Date | 05/05/2016 |
Last Update Date | 05/05/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952757379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12011674A (Indiana) | Primary |
The Happy Tooth, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Elm St, Clinton, IN 47842 Phone: 765-832-3434 | |
Crown Hill Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 E State Highway 163, Clinton, IN 47842 Phone: 765-832-7741 Fax: 765-832-7743 |