| Jeffersonville Commons Dental | |
|
1019 Jeffersonville Commons Drive Jeffersonville IN 47130 | |
| (812) 302-3200 | |
| (812) 302-3222 |
| Full Name | Jeffersonville Commons Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1019 Jeffersonville Commons Drive, Jeffersonville, Indiana |
| Authorized Official Name and Position | Michelle Elizabeth Faeth (OFFICE MANAGER) |
| Authorized Official Contact | 5027181226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffersonville Commons Dental 1410 Spring St Jeffersonville IN 47130-3731 Ph: (502) 718-1226 | Jeffersonville Commons Dental 1019 Jeffersonville Commons Drive Jeffersonville IN 47130 Ph: (812) 302-3200 |
| NPI Number | 1972124717 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972124717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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