| Great Lakes Family Dental Group-muncie, P.c. | |
|
1003 W. Mcgalliard Road Muncie IN 47303 | |
| (765) 288-1307 | |
| Not Available |
| Full Name | Great Lakes Family Dental Group-muncie, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1003 W. Mcgalliard Road, Muncie, Indiana |
| Authorized Official Name and Position | Patricia J. Hart (CORPORATE MANAGER) |
| Authorized Official Contact | 8106252860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Family Dental Group-muncie, P.c. 1003 W. Mcgalliard Road Muncie IN 47303 Ph: (765) 288-1307 | Great Lakes Family Dental Group-muncie, P.c. 1003 W. Mcgalliard Road Muncie IN 47303 Ph: (765) 288-1307 |
| NPI Number | 1437557345 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437557345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012248A (Indiana) | Primary |
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