| Dyer Family Dental Inc. | |
|
890 Richard Rd Dyer IN 46311-1779 | |
| (708) 869-8662 | |
| Not Available |
| Full Name | Dyer Family Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 890 Richard Rd, Dyer, Indiana |
| Authorized Official Name and Position | Kevin Lloyd Fatland (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7088398662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dyer Family Dental Inc. 7855 Pineview Ln Frankfort IL 60423-9004 Ph: (708) 839-8662 | Dyer Family Dental Inc. 890 Richard Rd Dyer IN 46311-1779 Ph: (708) 869-8662 |
| NPI Number | 1629508734 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 06/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629508734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19025070 (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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