| Klopenstine Family Dentistry Pc | |
|
52120 State Road 933 South Bend IN 46637-3846 | |
| (574) 217-8170 | |
| Not Available |
| Full Name | Klopenstine Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 52120 State Road 933, South Bend, Indiana |
| Authorized Official Name and Position | Geoffrey Klopenstine (PRESIDENT/DENTIST OWNER) |
| Authorized Official Contact | 5742178170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klopenstine Family Dentistry Pc 52120 State Road 933 South Bend IN 46637-3846 Ph: () - | Klopenstine Family Dentistry Pc 52120 State Road 933 South Bend IN 46637-3846 Ph: (574) 217-8170 |
| NPI Number | 1598034894 |
|---|---|
| Provider Enumeration Date | 12/16/2011 |
| Last Update Date | 12/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598034894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009913A (Indiana) | Primary |
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