| Ronald L Receveur Dds Llc | |
|
819 Mount Tabor Rd New Albany IN 47150-6414 | |
| (812) 948-2281 | |
| Not Available |
| Full Name | Ronald L Receveur Dds Llc |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 819 Mount Tabor Rd, New Albany, Indiana |
| Authorized Official Name and Position | Ronald Leo Receveur (DENTIST/OWNER) |
| Authorized Official Contact | 8129482281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald L Receveur Dds Llc 819 Mount Tabor Rd New Albany IN 47150-6414 Ph: (812) 948-2281 | Ronald L Receveur Dds Llc 819 Mount Tabor Rd New Albany IN 47150-6414 Ph: (812) 948-2281 |
| NPI Number | 1972936037 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972936037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008027 (Indiana) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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