Marshall County Family Dentistry, Pc | |
125 S Stewart St Bremen IN 46506-1829 | |
(574) 645-3037 | |
Not Available |
Full Name | Marshall County Family Dentistry, Pc |
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Speciality | Dentist |
Location | 125 S Stewart St, Bremen, Indiana |
Authorized Official Name and Position | Paul M Mcleod (PRESIDENT) |
Authorized Official Contact | 5745320011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marshall County Family Dentistry, Pc 125 S Stewart St Bremen IN 46506-1829 Ph: (574) 645-3037 | Marshall County Family Dentistry, Pc 125 S Stewart St Bremen IN 46506-1829 Ph: (574) 645-3037 |
NPI Number | 1356753230 |
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Provider Enumeration Date | 05/27/2014 |
Last Update Date | 05/27/2014 |
Identifier | Type | State | Issuer |
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1356753230 | NPI | - | NPPES |
1790909000 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 200091260A (Indiana) | Primary |
Springer Dental Care Of Bremen Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1712 W Plymouth St, Bremen, IN 46506 Phone: 574-546-2851 |