| Freiendly Family Dentistry, Llc | |
|
1626 S State Road 46 Terre Haute IN 47803-9301 | |
| (812) 877-2238 | |
| (812) 877-9408 |
| Full Name | Freiendly Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1626 S State Road 46, Terre Haute, Indiana |
| Authorized Official Name and Position | Mark A. Haring (OWNER) |
| Authorized Official Contact | 8128772238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freiendly Family Dentistry, Llc 1626 S State Road 46 Terre Haute IN 47803-9301 Ph: (812) 877-2238 | Freiendly Family Dentistry, Llc 1626 S State Road 46 Terre Haute IN 47803-9301 Ph: (812) 877-2238 |
| NPI Number | 1235505579 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235505579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12007347B (Indiana) | Primary |
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