| Tosh Family Dental | |
|
905 N Lebanon St Lebanon IN 46052-1725 | |
| (765) 482-3201 | |
| (765) 482-3230 |
| Full Name | Tosh Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 905 N Lebanon St, Lebanon, Indiana |
| Authorized Official Name and Position | Michael Rory Tosh (OWNER/DENTIST) |
| Authorized Official Contact | 7654823201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tosh Family Dental 905 N Lebanon St Lebanon IN 46052-1725 Ph: (765) 482-3201 | Tosh Family Dental 905 N Lebanon St Lebanon IN 46052-1725 Ph: (765) 482-3201 |
| NPI Number | 1548601776 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548601776 | NPI | - | NPPES |
| 1801863592 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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