| Engilman Orthodontics-jeffersonville, Llc | |
|
2917 E 10th St Suite 102 Jeffersonville IN 47130-6916 | |
| (812) 284-2272 | |
| Not Available |
| Full Name | Engilman Orthodontics-jeffersonville, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2917 E 10th St, Jeffersonville, Indiana |
| Authorized Official Name and Position | Stephen James (CFO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Engilman Orthodontics-jeffersonville, Llc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Engilman Orthodontics-jeffersonville, Llc 2917 E 10th St Suite 102 Jeffersonville IN 47130-6916 Ph: (812) 284-2272 |
| NPI Number | 1083999155 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083999155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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