Diane J. Heckley Pc | |
420 N West St Odon IN 47562-1036 | |
(812) 323-9970 | |
(812) 323-9961 |
Full Name | Diane J. Heckley Pc |
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Speciality | Dentist - General Practice |
Location | 420 N West St, Odon, Indiana |
Authorized Official Name and Position | Diane J Heckley (DENTIST OWNER) |
Authorized Official Contact | 8123239970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diane J. Heckley Pc Po Box 1150 Bloomington IN 47402-1150 Ph: (812) 323-9970 | Diane J. Heckley Pc 420 N West St Odon IN 47562-1036 Ph: (812) 323-9970 |
NPI Number | 1285853085 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285853085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Odon Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 N West St, Odon, IN 47562 Phone: 812-636-4334 Fax: 812-636-8325 |