| Thomas A Closurdo Jr Dds Pc | |
|
211 N Saint Peter St South Bend IN 46617-2823 | |
| (574) 288-1900 | |
| Not Available |
| Full Name | Thomas A Closurdo Jr Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 211 N Saint Peter St, South Bend, Indiana |
| Authorized Official Name and Position | Thomas A Closurdo (PRESIDENT) |
| Authorized Official Contact | 5742881900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Closurdo Jr Dds Pc 211 N Saint Peter St South Bend IN 46617-2823 Ph: (574) 288-1900 | Thomas A Closurdo Jr Dds Pc 211 N Saint Peter St South Bend IN 46617-2823 Ph: (574) 288-1900 |
| NPI Number | 1730576752 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730576752 | NPI | - | NPPES |
| 201200360 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011946 (Indiana) | Primary |
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