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1315 W Westridge Pkwy Greensburg IN 47240-3251 | |
(812) 663-7515 | |
(812) 663-3518 |
Full Name | |
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Speciality | Dentist |
Location | 1315 W Westridge Pkwy, Greensburg, Indiana |
Authorized Official Name and Position | David Anthony Noles (OWNER/DENTIST/SOLE MEMBER) |
Authorized Official Contact | 8126637515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1315 W Westridge Pkwy Greensburg IN 47240-3251 Ph: (812) 663-7515 | 1315 W Westridge Pkwy Greensburg IN 47240-3251 Ph: (812) 663-7515 |
NPI Number | 1073976585 |
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Provider Enumeration Date | 04/01/2016 |
Last Update Date | 07/28/2022 |
Identifier | Type | State | Issuer |
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1073976585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 12012284A (Indiana) | Primary |