Dsofc Llc | |
3780 W Jonathan Moore Pike Ste 180 Columbus IN 47201-9430 | |
(812) 342-9666 | |
Not Available |
Full Name | Dsofc Llc |
---|---|
Speciality | Dentist |
Location | 3780 W Jonathan Moore Pike Ste 180, Columbus, Indiana |
Authorized Official Name and Position | Katherine E Ferry (OWNER) |
Authorized Official Contact | 8123504465 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dsofc Llc 3180 Middle Rd Columbus IN 47203-2298 Ph: (812) 447-9935 | Dsofc Llc 3780 W Jonathan Moore Pike Ste 180 Columbus IN 47201-9430 Ph: (812) 342-9666 |
NPI Number | 1700639390 |
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Provider Enumeration Date | 04/11/2024 |
Last Update Date | 04/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700639390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
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