| Plymouth Family Dental Care | |
|
1409 N Michigan St Plymouth IN 46563-1119 | |
| (574) 936-8787 | |
| Not Available |
| Full Name | Plymouth Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1409 N Michigan St, Plymouth, Indiana |
| Authorized Official Name and Position | James Ryan (OWNER) |
| Authorized Official Contact | 5743278272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Family Dental Care 1409 N Michigan St Plymouth IN 46563-1119 Ph: (574) 936-8787 | Plymouth Family Dental Care 1409 N Michigan St Plymouth IN 46563-1119 Ph: (574) 936-8787 |
| NPI Number | 1023835956 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023835956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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