Waterloo Family Dentistry | |
605 S Wayne St Waterloo IN 46793-9472 | |
(260) 837-2138 | |
(260) 837-7481 |
Full Name | Waterloo Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 605 S Wayne St, Waterloo, Indiana |
Authorized Official Name and Position | Dianna J Payne (VICE PRESIDENT/ OFFICE MANAGER) |
Authorized Official Contact | 2608372138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Waterloo Family Dentistry 605 S Wayne St Waterloo IN 46793-9472 Ph: (260) 837-2138 | Waterloo Family Dentistry 605 S Wayne St Waterloo IN 46793-9472 Ph: (260) 837-2138 |
NPI Number | 1255884425 |
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Provider Enumeration Date | 07/25/2016 |
Last Update Date | 07/25/2016 |
Identifier | Type | State | Issuer |
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1255884425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lindsey Daniher Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Wayne St, Waterloo, IN 46793 Phone: 260-837-2138 |