| Hometown Family Dental | |
|
1005 Lincoln St Hobart IN 46342-6082 | |
| (219) 942-4858 | |
| (219) 942-4036 |
| Full Name | Hometown Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1005 Lincoln St, Hobart, Indiana |
| Authorized Official Name and Position | Sara Jackson (OWNER) |
| Authorized Official Contact | 2199424858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Dental 1005 Lincoln St Hobart IN 46342-6082 Ph: (219) 942-4858 | Hometown Family Dental 1005 Lincoln St Hobart IN 46342-6082 Ph: (219) 942-4858 |
| NPI Number | 1649987470 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649987470 | NPI | - | NPPES |
| 300060040 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Hobart And Lake County Family Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N Wisconsin St, Hobart, IN 46342 Phone: 219-942-4624 | |
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