| Huntinburg Family Dentistry | |
|
517 E 5th St Huntingburg IN 47542-1004 | |
| (812) 683-4100 | |
| (812) 683-4110 |
| Full Name | Huntinburg Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 517 E 5th St, Huntingburg, Indiana |
| Authorized Official Name and Position | Shannon Elisa Wood (DENTIST) |
| Authorized Official Contact | 8126834100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntinburg Family Dentistry 517 E 5th St Huntingburg IN 47542-1004 Ph: (812) 683-4100 | Huntinburg Family Dentistry 517 E 5th St Huntingburg IN 47542-1004 Ph: (812) 683-4100 |
| NPI Number | 1861833147 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861833147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009892A (Indiana) | Primary |
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