| Evansville Pediatric Dentistry, P.c. | |
|
7200 E Virginia St Evansville IN 47715-4068 | |
| (812) 479-8609 | |
| (812) 479-5554 |
| Full Name | Evansville Pediatric Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7200 E Virginia St, Evansville, Indiana |
| Authorized Official Name and Position | Jeffrey Hiester (DENTIST) |
| Authorized Official Contact | 8124798609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evansville Pediatric Dentistry, P.c. 7200 E Virginia St Evansville IN 47715-4068 Ph: (812) 479-8609 | Evansville Pediatric Dentistry, P.c. 7200 E Virginia St Evansville IN 47715-4068 Ph: (812) 479-8609 |
| NPI Number | 1801838321 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801838321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12010159A (Indiana) | Primary |
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