| Jeffrey Golder D.d.s. P.c. | |
|
4800 W Smith Valley Rd Ste K Greenwood IN 46142-9198 | |
| (317) 882-7800 | |
| (317) 883-3098 |
| Full Name | Jeffrey Golder D.d.s. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4800 W Smith Valley Rd, Greenwood, Indiana |
| Authorized Official Name and Position | Jeffrey Golder (PRESIDENT) |
| Authorized Official Contact | 3178827800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Golder D.d.s. P.c. 4800 W Smith Valley Rd Ste K Greenwood IN 46142-9198 Ph: (317) 882-7800 | Jeffrey Golder D.d.s. P.c. 4800 W Smith Valley Rd Ste K Greenwood IN 46142-9198 Ph: (317) 882-7800 |
| NPI Number | 1376908160 |
|---|---|
| Provider Enumeration Date | 12/21/2015 |
| Last Update Date | 12/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376908160 | NPI | - | NPPES |
| 200279660-C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009171 (Indiana) | Primary |
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