Southway Family Dentistry | |
3745 S Madison St Muncie IN 47302-5756 | |
(765) 896-9857 | |
(765) 896-9937 |
Full Name | Southway Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 3745 S Madison St, Muncie, Indiana |
Authorized Official Name and Position | David M Buksar (OWNER) |
Authorized Official Contact | 7658969857 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southway Family Dentistry 3745 S. Madison St Muncie IN 47302-5756 Ph: (765) 896-9857 | Southway Family Dentistry 3745 S Madison St Muncie IN 47302-5756 Ph: (765) 896-9857 |
NPI Number | 1902154248 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902154248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 12009906A (Indiana) | Primary |
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