Wabash Valley Dental Group | |
1518 S 3rd St Terre Haute IN 47802-1012 | |
(812) 232-2557 | |
(812) 234-1365 |
Full Name | Wabash Valley Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 1518 S 3rd St, Terre Haute, Indiana |
Authorized Official Name and Position | Suzanne Lindley (RECEPTIONIST) |
Authorized Official Contact | 8122322557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wabash Valley Dental Group 1518 S 3rd St Terre Haute IN 47802-1012 Ph: (812) 232-2557 | Wabash Valley Dental Group 1518 S 3rd St Terre Haute IN 47802-1012 Ph: (812) 232-2557 |
NPI Number | 1487866711 |
---|---|
Provider Enumeration Date | 05/07/2007 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487866711 | NPI | - | NPPES |
200499690A | Medicaid | IN | |
524674 | Other | IN | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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