| |
920 W Kathys Way Suite E Greensburg IN 47240-3412 | |
(812) 663-4400 | |
(812) 663-4407 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 920 W Kathys Way, Greensburg, Indiana |
Authorized Official Name and Position | David A. Dickey (PRESIDNET) |
Authorized Official Contact | 8126634400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
920 W Kathys Way Suite E Greensburg IN 47240-3412 Ph: (812) 663-4400 | 920 W Kathys Way Suite E Greensburg IN 47240-3412 Ph: (812) 663-4400 |
NPI Number | 1447383112 |
---|---|
Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447383112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |