| Gorman Center For Orthodontics | |
|
617 N River Dr Marion IN 46952-2648 | |
| (765) 662-0018 | |
| Not Available |
| Full Name | Gorman Center For Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 617 N River Dr, Marion, Indiana |
| Authorized Official Name and Position | Tiffany Hartman (PERSONNEL DIRECTOR) |
| Authorized Official Contact | 7656620018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorman Center For Orthodontics 617 N River Dr Marion IN 46952-2648 Ph: () - | Gorman Center For Orthodontics 617 N River Dr Marion IN 46952-2648 Ph: (765) 662-0018 |
| NPI Number | 1720006273 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720006273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54000033A (Indiana) | Primary |
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