| Heritage Family Dental | |
|
731 N Green River Rd Evansville IN 47715-2415 | |
| (812) 476-3002 | |
| (812) 476-3027 |
| Full Name | Heritage Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 731 N Green River Rd, Evansville, Indiana |
| Authorized Official Name and Position | Nissa Mcconnell (OWNER/DENTIST) |
| Authorized Official Contact | 8124763002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Dental 731 N Green River Rd Evansville IN 47715-2415 Ph: (812) 476-3002 | Heritage Family Dental 731 N Green River Rd Evansville IN 47715-2415 Ph: (812) 476-3002 |
| NPI Number | 1154693752 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154693752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011723A (Indiana) | Primary |
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