| Odon Family Dentistry | |
|
420 N West St Odon IN 47562-1036 | |
| (812) 636-4334 | |
| (812) 636-8325 |
| Full Name | Odon Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 420 N West St, Odon, Indiana |
| Authorized Official Name and Position | Michelle Lynn Jennings (OWNER/DENTIST) |
| Authorized Official Contact | 8126364334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odon Family Dentistry 420 N West St Odon IN 47562-1036 Ph: (812) 636-4334 | Odon Family Dentistry 420 N West St Odon IN 47562-1036 Ph: (812) 636-4334 |
| NPI Number | 1891984522 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891984522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010880A (Indiana) | Primary |
Diane J. Heckley Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 N West St, Odon, IN 47562 Phone: 812-323-9970 Fax: 812-323-9961 |