Dental Care Center | |
1602 W Third Street Bloomington IN 47404 | |
(812) 339-7700 | |
(812) 339-7794 |
Full Name | Dental Care Center |
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Speciality | Dentist - General Practice |
Location | 1602 W Third Street, Bloomington, Indiana |
Authorized Official Name and Position | John T Patrick (PRESIDENT BOARD OF DIRECTORS) |
Authorized Official Contact | 8123395015 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Care Center 1602 W Third Street Bloomington IN 47404 Ph: (812) 339-7700 | Dental Care Center 1602 W Third Street Bloomington IN 47404 Ph: (812) 339-7700 |
NPI Number | 1477765022 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477765022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 10850A (Indiana) | Primary |
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