Maddox Family Dental Center | |
1200 N Walnut St Hartford City IN 47348-1338 | |
(765) 348-4111 | |
Not Available |
Full Name | Maddox Family Dental Center |
---|---|
Speciality | Dentist |
Location | 1200 N Walnut St, Hartford City, Indiana |
Authorized Official Name and Position | Raymond Matthew Maddox (OWNER/DENTIST) |
Authorized Official Contact | 7653484111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maddox Family Dental Center 1200 N Walnut St Hartford City IN 47348-1338 Ph: (765) 348-4111 | Maddox Family Dental Center 1200 N Walnut St Hartford City IN 47348-1338 Ph: (765) 348-4111 |
NPI Number | 1093167884 |
---|---|
Provider Enumeration Date | 07/06/2016 |
Last Update Date | 07/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093167884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12011570A (Indiana) | Primary |