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1160 E Lewis And Clark Pkwy Clarksville IN 47129-7735 | |
(812) 945-4040 | |
(866) 591-0604 |
Full Name | |
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Speciality | Dentist |
Location | 1160 E Lewis And Clark Pkwy, Clarksville, Indiana |
Authorized Official Name and Position | Monica L Long (MANAGER OF PROVIDER CREDENTIALING) |
Authorized Official Contact | 9134281686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 11568 Overland Park KS 66207-4268 Ph: (913) 428-1686 | 1160 E Lewis And Clark Pkwy Clarksville IN 47129-7735 Ph: (812) 945-4040 |
NPI Number | 1578732806 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 04/28/2017 |
Identifier | Type | State | Issuer |
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1578732806 | NPI | - | NPPES |
200377170H | 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 | |
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 | |