| Immediadent | |
|
1160 E Lewis And Clark Pkwy Clarksville IN 47129-7735 | |
| (812) 284-4040 | |
| (913) 800-6967 |
| Full Name | Immediadent |
|---|---|
| Speciality | Dentist |
| Location | 1160 E Lewis And Clark Pkwy, Clarksville, Indiana |
| Authorized Official Name and Position | Amy Wheeler (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9138006952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediadent Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 800-6952 | Immediadent 1160 E Lewis And Clark Pkwy Clarksville IN 47129-7735 Ph: (812) 284-4040 |
| NPI Number | 1194193078 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194193078 | NPI | - | NPPES |
| 200377170 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010746A (Indiana) | Primary |
Skees Family Dentistry, Pllc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Veterans Pkwy Ste 1500, Clarksville, IN 47129 Phone: 812-280-8300 Fax: 812-280-8304 | |
Sunshine Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 E Lewis And Clark Pkwy, Clarksville, IN 47129 Phone: 812-280-7500 Fax: 812-280-8016 | |
Beechwood Dental Center, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 639 Eastern Blvd Ste B, Clarksville, IN 47129 Phone: 812-282-1773 Fax: 812-282-1791 | |
Mortenson Family Dental Center- Clarksville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 Veterans Pkwy, Suite 100, Clarksville, IN 47129 Phone: 812-284-2701 Fax: 812-282-2721 | |
Smilecare Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 Phone: 812-284-2701 Fax: 812-284-2721 | |
Clarksville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Synch Lane, Suite C, Clarksville, IN 47129 Phone: 812-280-1001 Fax: 812-280-1002 |