Reo Family Dental | |
3430 W State Road 66 Rockport IN 47635-9259 | |
(812) 649-4416 | |
(812) 649-2651 |
Full Name | Reo Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 3430 W State Road 66, Rockport, Indiana |
Authorized Official Name and Position | Brittany Eirwin-maqueda (OWNER DENTIST) |
Authorized Official Contact | 8126494416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reo Family Dental 3430 W State Road 66 Rockport IN 47635-9259 Ph: (812) 649-4416 | Reo Family Dental 3430 W State Road 66 Rockport IN 47635-9259 Ph: (812) 649-4416 |
NPI Number | 1417407644 |
---|---|
Provider Enumeration Date | 10/12/2016 |
Last Update Date | 10/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417407644 | NPI | - | NPPES |
201115460 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12011855A (Indiana) | Primary |