| Jeffrey W Rhonemus,d.d.s.,p.c. | |
|
302 S Fairground St Liberty IN 47353-1414 | |
| (765) 458-5618 | |
| (765) 458-6734 |
| Full Name | Jeffrey W Rhonemus,d.d.s.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 302 S Fairground St, Liberty, Indiana |
| Authorized Official Name and Position | Jeffrey William Rhonemus (PRES) |
| Authorized Official Contact | 7654585618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W Rhonemus,d.d.s.,p.c. 302 S Fairground St Liberty IN 47353-1414 Ph: (765) 458-5618 | Jeffrey W Rhonemus,d.d.s.,p.c. 302 S Fairground St Liberty IN 47353-1414 Ph: (765) 458-5618 |
| NPI Number | 1124213962 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124213962 | NPI | - | NPPES |
| 54001205 | Other | IN | INDIANA CORP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54001205 (Indiana) | Primary |
Premier Dental Of Liberty Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Fairground St, Liberty, IN 47353 Phone: 614-935-7677 |