| Dentures Only P.c. | |
|
1445 W Hoosier Blvd Ste 103 Peru IN 46970-3727 | |
| (765) 689-7096 | |
| Not Available |
| Full Name | Dentures Only P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1445 W Hoosier Blvd, Peru, Indiana |
| Authorized Official Name and Position | John R. Ladd (PRESIDENT) |
| Authorized Official Contact | 7654550085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentures Only P.c. 1445 W Hoosier Blvd Ste 103 Peru IN 46970-3727 Ph: (765) 689-7096 | Dentures Only P.c. 1445 W Hoosier Blvd Ste 103 Peru IN 46970-3727 Ph: (765) 689-7096 |
| NPI Number | 1558595777 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558595777 | NPI | - | NPPES |
| 100320050 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7549 (Indiana) | Primary |
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