Geneva Dental Clinic | |
447 E Line St Geneva IN 46740-8936 | |
(260) 368-7500 | |
(260) 368-7167 |
Full Name | Geneva Dental Clinic |
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Speciality | Dentist - General Practice |
Location | 447 E Line St, Geneva, Indiana |
Authorized Official Name and Position | Michael Alan Johnson (PARTNER) |
Authorized Official Contact | 2603687500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geneva Dental Clinic 6204 W 300 S-1 # South-1 Bluffton IN 46714-9516 Ph: (260) 565-4506 | Geneva Dental Clinic 447 E Line St Geneva IN 46740-8936 Ph: (260) 368-7500 |
NPI Number | 1760559082 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1760559082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 12010412 (Indiana) | Primary |