| Hillcrest Family Dental Center , P.c. | |
|
331 E Amsler Rd Rensselaer IN 47978-8591 | |
| (219) 866-7117 | |
| (219) 866-8658 |
| Full Name | Hillcrest Family Dental Center , P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 331 E Amsler Rd, Rensselaer, Indiana |
| Authorized Official Name and Position | Raymond Gordon Klockow (PRESIDENT) |
| Authorized Official Contact | 2198667117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillcrest Family Dental Center , P.c. 331 E Amsler Rd Rensselaer IN 47978-8591 Ph: (219) 866-7117 | Hillcrest Family Dental Center , P.c. 331 E Amsler Rd Rensselaer IN 47978-8591 Ph: (219) 866-7117 |
| NPI Number | 1033177274 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033177274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5400-1122 (Indiana) | Primary |
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