| Evansville Endodontics, Inc. | |
|
7321 Eagle Crest Blvd Evansville IN 47715-8157 | |
| (812) 402-9600 | |
| (812) 402-9605 |
| Full Name | Evansville Endodontics, Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7321 Eagle Crest Blvd, Evansville, Indiana |
| Authorized Official Name and Position | Krieger Webb Brasseale (OWNER) |
| Authorized Official Contact | 8124029600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evansville Endodontics, Inc. 7321 Eagle Crest Blvd Evansville IN 47715-8157 Ph: (812) 402-9600 | Evansville Endodontics, Inc. 7321 Eagle Crest Blvd Evansville IN 47715-8157 Ph: (812) 402-9600 |
| NPI Number | 1538424023 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538424023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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