| Northside Endodontics, Pc | |
|
1400 S Pilgrim Blvd Yorktown IN 47396-9250 | |
| (765) 759-9630 | |
| (765) 759-9640 |
| Full Name | Northside Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1400 S Pilgrim Blvd, Yorktown, Indiana |
| Authorized Official Name and Position | John H Slavens (OWNER) |
| Authorized Official Contact | 7957599630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Endodontics, Pc 1400 S Pilgrim Blvd Yorktown IN 47396-9250 Ph: (765) 759-9630 | Northside Endodontics, Pc 1400 S Pilgrim Blvd Yorktown IN 47396-9250 Ph: (765) 759-9630 |
| NPI Number | 1588810980 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588810980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 54000837A (Indiana) | Primary |
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