| The Center For Advanced Dentistry, Llc | |
|
819 Mount Tabor Rd Suite 10 New Albany IN 47150-6414 | |
| (812) 948-2281 | |
| (812) 945-8374 |
| Full Name | The Center For Advanced Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 819 Mount Tabor Rd, New Albany, Indiana |
| Authorized Official Name and Position | Ronald L Receveur (MANAGER MEMBER) |
| Authorized Official Contact | 8129482281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Advanced Dentistry, Llc 819 Mount Tabor Rd Suite 10 New Albany IN 47150-6414 Ph: (812) 948-2281 | The Center For Advanced Dentistry, Llc 819 Mount Tabor Rd Suite 10 New Albany IN 47150-6414 Ph: (812) 948-2281 |
| NPI Number | 1568557874 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568557874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12008027A (Indiana) | Primary |
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