Premier Dental Of Liberty | |
302 S Fairground St Liberty IN 47353-1414 | |
(614) 935-7677 | |
Not Available |
Full Name | Premier Dental Of Liberty |
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Speciality | Dentist |
Location | 302 S Fairground St, Liberty, Indiana |
Authorized Official Name and Position | Mark Alexandrunas (OWNER) |
Authorized Official Contact | 6144259061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Dental Of Liberty 3363 Kitzmiller Rd New Albany OH 43054-8542 Ph: (614) 935-7677 | Premier Dental Of Liberty 302 S Fairground St Liberty IN 47353-1414 Ph: (614) 935-7677 |
NPI Number | 1720577448 |
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Provider Enumeration Date | 05/08/2018 |
Last Update Date | 05/08/2018 |
Identifier | Type | State | Issuer |
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1720577448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 12007652B (Indiana) | Primary |
Jeffrey W Rhonemus,d.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Fairground St, Liberty, IN 47353 Phone: 765-458-5618 Fax: 765-458-6734 |