| Kenneth J. Pilcher, D.d.s., P.c. | |
|
508 Corda Blvd Crawfordsville IN 47933-4935 | |
| (765) 362-1189 | |
| (765) 362-1190 |
| Full Name | Kenneth J. Pilcher, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 508 Corda Blvd, Crawfordsville, Indiana |
| Authorized Official Name and Position | Kenneth Jon Pilcher (PRESIDENT) |
| Authorized Official Contact | 7653621189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J. Pilcher, D.d.s., P.c. 508 Corda Blvd Crawfordsville IN 47933-4935 Ph: (765) 362-1189 | Kenneth J. Pilcher, D.d.s., P.c. 508 Corda Blvd Crawfordsville IN 47933-4935 Ph: (765) 362-1189 |
| NPI Number | 1235265380 |
|---|---|
| Provider Enumeration Date | 02/25/2007 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235265380 | NPI | - | NPPES |
| 200309510 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009141A (Indiana) | Primary |
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