Middletown Family Dentistry | |
4573 E State Road 236 Middletown IN 47356-9207 | |
(765) 354-4796 | |
(765) 354-4794 |
Full Name | Middletown Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 4573 E State Road 236, Middletown, Indiana |
Authorized Official Name and Position | Jonathan William Titus (OWNER) |
Authorized Official Contact | 7653544796 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Middletown Family Dentistry 4573 E State Road 236 Middletown IN 47356-9207 Ph: (765) 354-4796 | Middletown Family Dentistry 4573 E State Road 236 Middletown IN 47356-9207 Ph: (765) 354-4796 |
NPI Number | 1598082554 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 04/29/2010 |
Identifier | Type | State | Issuer |
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1598082554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12011178 (Indiana) | Primary |