| Mentone Dental Llc | |
|
107 S Broadway St Mentone IN 46539 | |
| (574) 598-2997 | |
| Not Available |
| Full Name | Mentone Dental Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831856707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |