| Delaware Dental Solutions Llc | |
|
315 W Washington St Muncie IN 47305-1634 | |
| (765) 282-2265 | |
| (765) 282-2266 |
| Full Name | Delaware Dental Solutions Llc |
|---|---|
| Speciality | Dentist |
| Location | 315 W Washington St, Muncie, Indiana |
| Authorized Official Name and Position | Teresa Michelle Watkins (OWNER/DENTIST) |
| Authorized Official Contact | 7652822265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware Dental Solutions Llc 315 W Washington St Muncie IN 47305-1634 Ph: (765) 282-2265 | Delaware Dental Solutions Llc 315 W Washington St Muncie IN 47305-1634 Ph: (765) 282-2265 |
| NPI Number | 1588062848 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588062848 | NPI | - | NPPES |
| 200888510 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010271A (Indiana) | Primary |
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