| State Street Dentistry Pc | |
|
333c State St Newburgh IN 47630-1231 | |
| (812) 853-3344 | |
| (812) 853-3370 |
| Full Name | State Street Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 333c State St, Newburgh, Indiana |
| Authorized Official Name and Position | Natalie Marie Klump (GENERAL MANAGER) |
| Authorized Official Contact | 8124312201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Street Dentistry Pc 333c State St Newburgh IN 47630-1231 Ph: (812) 853-3344 | State Street Dentistry Pc 333c State St Newburgh IN 47630-1231 Ph: (812) 853-3344 |
| NPI Number | 1205114147 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205114147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12006732 (Indiana) | Primary |
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