| Duane A Nodine Dds Inc | |
|
706 N Main St Bluffton IN 46714-1312 | |
| (260) 824-2442 | |
| (260) 824-8101 |
| Full Name | Duane A Nodine Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 706 N Main St, Bluffton, Indiana |
| Authorized Official Name and Position | Duane Alan Nodine (OWNER/DENTIST) |
| Authorized Official Contact | 2608242442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duane A Nodine Dds Inc Po Box 432 Bluffton IN 46714-0432 Ph: (260) 824-2442 | Duane A Nodine Dds Inc 706 N Main St Bluffton IN 46714-1312 Ph: (260) 824-2442 |
| NPI Number | 1710381496 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710381496 | NPI | - | NPPES |
| 100257490A | Medicaid | IN | |
| 200913480 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011131A (Indiana) | Secondary |
| 122300000X | Dentist | 12007048A (Indiana) | Primary |
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