| Main Street Family Dentistry | |
|
712 W Main Street Suite 100 Plainfield IN 46168-9403 | |
| (317) 839-5550 | |
| (317) 839-5509 |
| Full Name | Main Street Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 712 W Main Street, Plainfield, Indiana |
| Authorized Official Name and Position | Doris Ann Vannatter (PRESIDENT OWNER) |
| Authorized Official Contact | 3178395500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Family Dentistry 712 W Main Street Suite 100 Plainfield IN 46168-9403 Ph: (317) 839-5550 | Main Street Family Dentistry 712 W Main Street Suite 100 Plainfield IN 46168-9403 Ph: (317) 839-5550 |
| NPI Number | 1104990233 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104990233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009821 (Indiana) | Primary |
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