| Crown Hill Dentistry Llc | |
|
1792 E State Highway 163 Clinton IN 47842-0160 | |
| (765) 832-7741 | |
| (765) 832-7743 |
| Full Name | Crown Hill Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 1792 E State Highway 163, Clinton, Indiana |
| Authorized Official Name and Position | George Thomas Cloyd (MANAGING PARTNER) |
| Authorized Official Contact | 7658327741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Hill Dentistry Llc 1792 E State Road 163 Po Box 408 Clinton IN 47842-7327 Ph: (765) 832-7741 | Crown Hill Dentistry Llc 1792 E State Highway 163 Clinton IN 47842-0160 Ph: (765) 832-7741 |
| NPI Number | 1699115253 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699115253 | NPI | - | NPPES |
| 1002436440A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12006928A (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 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1792 E State Road 163, Clinton, IN 47842 Phone: 765-832-7741 Fax: 765-832-7743 |