| Sheppard Dental Clinic Llc | |
|
303 E Columbia St South Whitley IN 46787-1352 | |
| (260) 723-5223 | |
| Not Available |
| Full Name | Sheppard Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 303 E Columbia St, South Whitley, Indiana |
| Authorized Official Name and Position | Harry Reith (VICE-PRESIDENT) |
| Authorized Official Contact | 2607235223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Dental Clinic Llc 303 E Columbia St South Whitley IN 46787-1352 Ph: (260) 723-5223 | Sheppard Dental Clinic Llc 303 E Columbia St South Whitley IN 46787-1352 Ph: (260) 723-5223 |
| NPI Number | 1104175876 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104175876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12006222 (Indiana) | Primary |
Timothy D Lynch Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N State St, South Whitley, IN 46787 Phone: 260-723-6632 Fax: 260-723-6185 | |
Meredith S. Lynch Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N State St, South Whitley, IN 46787 Phone: 260-723-6632 |