| Kluth Family Dentistry,inc | |
|
16000 Prosperity Dr Ste 400 Noblesville IN 46060-4322 | |
| (317) 770-1050 | |
| (317) 770-1645 |
| Full Name | Kluth Family Dentistry,inc |
|---|---|
| Speciality | Dentist |
| Location | 16000 Prosperity Dr Ste 400, Noblesville, Indiana |
| Authorized Official Name and Position | Sandy Lynn Fisher (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3177701050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kluth Family Dentistry,inc 16000 Prosperity Dr Ste 400 Noblesville IN 46060-4322 Ph: (317) 770-1050 | Kluth Family Dentistry,inc 16000 Prosperity Dr Ste 400 Noblesville IN 46060-4322 Ph: (317) 770-1050 |
| NPI Number | 1003356973 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003356973 | NPI | - | NPPES |
| 100173090A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009126 (Indiana) | Primary |
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