| Plymouth Family Dentistry, Inc | |
|
1400 N Oak Dr Plymouth IN 46563-3403 | |
| (574) 936-0644 | |
| Not Available |
| Full Name | Plymouth Family Dentistry, Inc |
|---|---|
| Speciality | Dentist |
| Location | 1400 N Oak Dr, Plymouth, Indiana |
| Authorized Official Name and Position | Katie Clauss (OFFICE MANAGER) |
| Authorized Official Contact | 5743960644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Family Dentistry, Inc 1400 N Oak Dr Plymouth IN 46563-3403 Ph: (574) 936-0644 | Plymouth Family Dentistry, Inc 1400 N Oak Dr Plymouth IN 46563-3403 Ph: (574) 936-0644 |
| NPI Number | 1811287519 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811287519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010054 (Indiana) | Primary |
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