| Plainfield Family Dental Inc | |
|
1620 Hawthorne Dr Ste 100 Plainfield IN 46168 | |
| (317) 839-8684 | |
| (317) 839-5864 |
| Full Name | Plainfield Family Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1620 Hawthorne Dr, Plainfield, Indiana |
| Authorized Official Name and Position | Timothy Jon Williams (OWNER/PRESIDENT) |
| Authorized Official Contact | 3178398684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plainfield Family Dental Inc 1620 Hawthorne Dr Ste 100 Plainfield IN 46168 Ph: (317) 839-8684 | Plainfield Family Dental Inc 1620 Hawthorne Dr Ste 100 Plainfield IN 46168 Ph: (317) 839-8684 |
| NPI Number | 1255443917 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255443917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1200-9590 (Indiana) | Primary |
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