| Terre Haute Oral Surgery Llc | |
|
3630 S 4th St Terre Haute IN 47802-5543 | |
| (812) 814-9245 | |
| Not Available |
| Full Name | Terre Haute Oral Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3630 S 4th St, Terre Haute, Indiana |
| Authorized Official Name and Position | Jan Slapnicka (ORAL SURGEON) |
| Authorized Official Contact | 3106896148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terre Haute Oral Surgery Llc 12651 Rosebery St Carmel IN 46032-7384 Ph: (310) 689-6148 | Terre Haute Oral Surgery Llc 3630 S 4th St Terre Haute IN 47802-5543 Ph: (812) 814-9245 |
| NPI Number | 1679384929 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679384929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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