| Jansen Family Dentistry, P.c. | |
|
230 S Main Street Kendallville IN 46755-1718 | |
| (260) 347-5115 | |
| (260) 347-9098 |
| Full Name | Jansen Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 S Main Street, Kendallville, Indiana |
| Authorized Official Name and Position | Susan Jansen (BUSINESS MANAGER) |
| Authorized Official Contact | 2603475115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jansen Family Dentistry, P.c. 230 S Main Street Kendallville IN 46755-1718 Ph: (260) 347-5115 | Jansen Family Dentistry, P.c. 230 S Main Street Kendallville IN 46755-1718 Ph: (260) 347-5115 |
| NPI Number | 1952351264 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952351264 | NPI | - | NPPES |
| 100190860A | Medicaid | IN | |
| 200389980A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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