| |
112 E. Tenth St Greensburg IN 47240-8202 | |
(812) 663-2503 | |
(812) 663-6665 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 112 E. Tenth St, Greensburg, Indiana |
Authorized Official Name and Position | Lesley E Best (FINANCIAL COORDINATOR) |
Authorized Official Contact | 8126632503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
112 E. Tenth St Greensburg IN 47240-8202 Ph: (812) 663-2503 | 112 E. Tenth St Greensburg IN 47240-8202 Ph: (812) 663-2503 |
NPI Number | 1407061013 |
---|---|
Provider Enumeration Date | 05/14/2007 |
Last Update Date | 05/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407061013 | NPI | - | NPPES |
200859770A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7386 (Indiana) | Primary |