| Munden Family Dentistry | |
|
124 E Indiana Ave Bloomfield IN 47424-1045 | |
| (812) 384-4191 | |
| (812) 384-4191 |
| Full Name | Munden Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 124 E Indiana Ave, Bloomfield, Indiana |
| Authorized Official Name and Position | Ronald Jay Munden (DENTIST/OWNER) |
| Authorized Official Contact | 8123844191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Munden Family Dentistry 124 E Indiana Ave Bloomfield IN 47424-1045 Ph: (812) 384-4191 | Munden Family Dentistry 124 E Indiana Ave Bloomfield IN 47424-1045 Ph: (812) 384-4191 |
| NPI Number | 1184006959 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184006959 | NPI | - | NPPES |
| 100124920 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008928A (Indiana) | Primary |
Bloomfield Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Main St Ste 3, Bloomfield, IN 47424 Phone: 812-384-3736 | |
Rb Munden, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Indiana Ave, Bloomfield, IN 47424 Phone: 812-384-4191 |