| Spring Grove Dental | |
|
894 Sim Hodgin Pkwy Richmond IN 47374-1931 | |
| (765) 962-3713 | |
| Not Available |
| Full Name | Spring Grove Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 894 Sim Hodgin Pkwy, Richmond, Indiana |
| Authorized Official Name and Position | John Pasicznyk (PRESIDENT) |
| Authorized Official Contact | 3178187777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Grove Dental 894 Sim Hodgin Pkwy Richmond IN 47374-1931 Ph: (765) 962-3713 | Spring Grove Dental 894 Sim Hodgin Pkwy Richmond IN 47374-1931 Ph: (765) 962-3713 |
| NPI Number | 1992154587 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992154587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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