Mentone Dental Llc | |
107 S Broadway St Mentone IN 46539 | |
(574) 598-2997 | |
Not Available |
Full Name | Mentone Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 107 S Broadway St, Mentone, Indiana |
Authorized Official Name and Position | Skye M Bower (DENTIST/OWNER) |
Authorized Official Contact | 5745982997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mentone Dental Llc Po Box 521 Mentone IN 46539-0521 Ph: (574) 598-2997 | Mentone Dental Llc 107 S Broadway St Mentone IN 46539 Ph: (574) 598-2997 |
NPI Number | 1831856707 |
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Provider Enumeration Date | 11/26/2021 |
Last Update Date | 11/29/2021 |
Identifier | Type | State | Issuer |
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1831856707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |