Morristown Family Dentistry, Llc | |
347 W Main St Morristown IN 46161-9792 | |
(765) 763-6412 | |
(765) 763-6815 |
Full Name | Morristown Family Dentistry, Llc |
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Speciality | Dentist |
Location | 347 W Main St, Morristown, Indiana |
Authorized Official Name and Position | Russell S Staggs (SOLE DENTIST) |
Authorized Official Contact | 7657636412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Morristown Family Dentistry, Llc 347 W Main St Morristown IN 46161-9792 Ph: (765) 763-6412 | Morristown Family Dentistry, Llc 347 W Main St Morristown IN 46161-9792 Ph: (765) 763-6412 |
NPI Number | 1154665073 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/15/2012 |
Identifier | Type | State | Issuer |
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1154665073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 19010197 (Indiana) | Primary |