| Knightstown Gentle Dentist | |
|
439 N Mccullum St Knightstown IN 46148-1138 | |
| (765) 345-7780 | |
| (765) 345-9123 |
| Full Name | Knightstown Gentle Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 439 N Mccullum St, Knightstown, Indiana |
| Authorized Official Name and Position | Mary Elizabeth Sheehan (OWNER) |
| Authorized Official Contact | 7653457780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knightstown Gentle Dentist 6267 Red Fox Rd Pendleton IN 46064-9058 Ph: () - | Knightstown Gentle Dentist 439 N Mccullum St Knightstown IN 46148-1138 Ph: (765) 345-7780 |
| NPI Number | 1447329735 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447329735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009495 (Indiana) | Primary |
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