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1815 N Greensburg Xing Greensburg IN 47240-8587 | |
(812) 663-6263 | |
(812) 663-5387 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1815 N Greensburg Xing, Greensburg, Indiana |
Authorized Official Name and Position | Tim Hoaglens (CEO) |
Authorized Official Contact | 5024239111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1815 N Greensburg Xing Greensburg IN 47240-8587 Ph: (812) 663-6263 | 1815 N Greensburg Xing Greensburg IN 47240-8587 Ph: (812) 663-6263 |
NPI Number | 1235208539 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 12/01/2010 |
Identifier | Type | State | Issuer |
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1235208539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |