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8101 E Us Highway 36 Ste A Avon IN 46123-8082 | |
(317) 272-6990 | |
(317) 272-6994 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 8101 E Us Highway 36 Ste A, Avon, Indiana |
Authorized Official Name and Position | Jeff Reibel (CFO) |
Authorized Official Contact | 5022548500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 437169 Louisville KY 40253-7169 Ph: () - | 8101 E Us Highway 36 Ste A Avon IN 46123-8082 Ph: (317) 272-6990 |
NPI Number | 1114412806 |
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Provider Enumeration Date | 06/26/2018 |
Last Update Date | 09/06/2023 |
Identifier | Type | State | Issuer |
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1114412806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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