Fremont Family Dentistry, P.c. | |
1003 W Toledo Street Fremont IN 46737-0667 | |
(260) 495-2255 | |
(260) 495-9023 |
Full Name | Fremont Family Dentistry, P.c. |
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Speciality | Dentist - General Practice |
Location | 1003 W Toledo Street, Fremont, Indiana |
Authorized Official Name and Position | Susan H. Mauk (PRESIDENT) |
Authorized Official Contact | 2604952255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fremont Family Dentistry, P.c. P.o. Box 667 Fremont IN 46737-0667 Ph: (260) 495-2255 | Fremont Family Dentistry, P.c. 1003 W Toledo Street Fremont IN 46737-0667 Ph: (260) 495-2255 |
NPI Number | 1871715359 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 05/17/2016 |
Identifier | Type | State | Issuer |
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1871715359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 012537445 001 7 (Indiana) | Primary |