| Smile Doctors Of Indiana, P.c. | |
|
1410 S Quail Run Rd Vincennes IN 47591-6845 | |
| (812) 882-7867 | |
| Not Available |
| Full Name | Smile Doctors Of Indiana, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1410 S Quail Run Rd, Vincennes, Indiana |
| Authorized Official Name and Position | Dana E Fender (OWNER) |
| Authorized Official Contact | 8128827867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Doctors Of Indiana, P.c. 1410 S Quail Run Rd Vincennes IN 47591-6845 Ph: (812) 882-7867 | Smile Doctors Of Indiana, P.c. 1410 S Quail Run Rd Vincennes IN 47591-6845 Ph: (812) 882-7867 |
| NPI Number | 1518456557 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 05/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518456557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12012617A (Indiana) | Primary |
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