| Gfd Cc Llc | |
|
506 N Line St Columbia City IN 46725-1230 | |
| (260) 248-4242 | |
| Not Available |
| Full Name | Gfd Cc Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 506 N Line St, Columbia City, Indiana |
| Authorized Official Name and Position | Geoffrey Louis Glogas (MEMBER/PRESIDENT) |
| Authorized Official Contact | 2604504579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gfd Cc Llc 8427 Spring Forest Dr Fort Wayne IN 46804-6496 Ph: (260) 436-4377 | Gfd Cc Llc 506 N Line St Columbia City IN 46725-1230 Ph: (260) 248-4242 |
| NPI Number | 1326443912 |
|---|---|
| Provider Enumeration Date | 10/26/2014 |
| Last Update Date | 10/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326443912 | NPI | - | NPPES |
| 200838370A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010658A (Indiana) | Primary |
Midwest Oral And Maxillofacial Surgery P C Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 N Line St, Columbia City, IN 46725 Phone: 260-244-4007 | |
Patterson Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 788 W Connexion Way Unit A, Columbia City, IN 46725 Phone: 260-248-4858 Fax: 260-248-4859 |