Samuel T Judd Dds Llc | |
201 Pringle Dr Goshen IN 46526-1419 | |
(574) 533-7621 | |
(574) 533-1072 |
Full Name | Samuel T Judd Dds Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 201 Pringle Dr, Goshen, Indiana |
Authorized Official Name and Position | Samuel T Judd (OWNER) |
Authorized Official Contact | 5745337621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Samuel T Judd Dds Llc 201 Pringle Dr Goshen IN 46526-1419 Ph: (574) 533-7621 | Samuel T Judd Dds Llc 201 Pringle Dr Goshen IN 46526-1419 Ph: (574) 533-7621 |
NPI Number | 1437385465 |
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Provider Enumeration Date | 06/04/2009 |
Last Update Date | 06/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437385465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12007483 (Indiana) | Primary |
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