| Newburgh Smile Center, Llc | |
|
8099 Rose Hill Dr Newburgh IN 47630-2384 | |
| (812) 853-2961 | |
| Not Available |
| Full Name | Newburgh Smile Center, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8099 Rose Hill Dr, Newburgh, Indiana |
| Authorized Official Name and Position | Edward G Prusz (DENTIST) |
| Authorized Official Contact | 8128532961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newburgh Smile Center, Llc 8099 Rose Hill Dr Newburgh IN 47630-2384 Ph: (812) 853-2961 | Newburgh Smile Center, Llc 8099 Rose Hill Dr Newburgh IN 47630-2384 Ph: (812) 853-2961 |
| NPI Number | 1043549009 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043549009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12007170B (Indiana) | Primary |
| 261QD0000X | Clinic/center - Dental | 12010766A (Indiana) | Secondary |
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