| Crossroads Family Dentistry | |
|
2499 E Margaret Dr Terre Haute IN 47802-3342 | |
| (812) 232-7424 | |
| Not Available |
| Full Name | Crossroads Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2499 E Margaret Dr, Terre Haute, Indiana |
| Authorized Official Name and Position | Nicole Richey (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 8122327424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Family Dentistry 2499 E Margaret Dr Terre Haute IN 47802-3342 Ph: (812) 232-7424 | Crossroads Family Dentistry 2499 E Margaret Dr Terre Haute IN 47802-3342 Ph: (812) 232-7424 |
| NPI Number | 1194127811 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194127811 | NPI | - | NPPES |
| 300065373 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012114A (Indiana) | Primary |
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