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7709 Highway 311 Sellersburg IN 47172 | |
| (812) 246-3386 | |
| (812) 246-1292 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7709 Highway 311, Sellersburg, Indiana |
| Authorized Official Name and Position | Dennis Jerome Jenkins (OWNER PRESIDENT) |
| Authorized Official Contact | 8122463386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7709 Highway 311 Sellersburg IN 47172 Ph: (812) 246-3386 | 7709 Highway 311 Sellersburg IN 47172 Ph: (812) 246-3386 |
| NPI Number | 1689773343 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689773343 | NPI | - | NPPES |
| 12009023 | Other | IN | DENTIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009023 (Indiana) | Primary |
Tds In Three Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Heritage Sq, Sellersburg, IN 47172 Phone: 812-248-4880 | |
A Lynn Dehaven Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Hunter Station Way, Sellersburg, IN 47172 Phone: 812-246-1770 Fax: 812-246-1770 | |
Serenity Smile Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 N. Indiana Ave, Sellersburg, IN 47172 Phone: 313-204-4775 |