| Newburgh Modern Dentistry Llc | |
|
3944 State Road 261 Newburgh IN 47630 | |
| (812) 616-5444 | |
| Not Available |
| Full Name | Newburgh Modern Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3944 State Road 261, Newburgh, Indiana |
| Authorized Official Name and Position | Basal K Hassan (OWNER) |
| Authorized Official Contact | 8126165444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newburgh Modern Dentistry Llc 3944 State Road 261 Newburgh IN 47630 Ph: () - | Newburgh Modern Dentistry Llc 3944 State Road 261 Newburgh IN 47630 Ph: (812) 616-5444 |
| NPI Number | 1578208021 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578208021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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