Mec Dental Ii, Pc | |
820 E 53rd St Anderson IN 46013-1731 | |
(317) 491-0188 | |
Not Available |
Full Name | Mec Dental Ii, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 820 E 53rd St, Anderson, Indiana |
Authorized Official Name and Position | Kristina D Gray (OFFICE MANAGER) |
Authorized Official Contact | 3174910188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mec Dental Ii, Pc 13606 Creekridge Ln Mc Cordsville IN 46055-9599 Ph: (317) 491-0188 | Mec Dental Ii, Pc 820 E 53rd St Anderson IN 46013-1731 Ph: (317) 491-0188 |
NPI Number | 1447447461 |
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Provider Enumeration Date | 10/03/2007 |
Last Update Date | 10/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447447461 | NPI | - | NPPES |
12010045 | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12010045 (Indiana) | Primary |
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