| William D Kenfield Dds Llc | |
|
77 Fairview Ave Spencer IN 47460-1513 | |
| (812) 829-4886 | |
| (812) 829-4686 |
| Full Name | William D Kenfield Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 77 Fairview Ave, Spencer, Indiana |
| Authorized Official Name and Position | William D Kenfield (MEMBER) |
| Authorized Official Contact | 8128294886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William D Kenfield Dds Llc 77 Fairview Ave Spencer IN 47460-1513 Ph: (812) 829-4886 | William D Kenfield Dds Llc 77 Fairview Ave Spencer IN 47460-1513 Ph: (812) 829-4886 |
| NPI Number | 1447501358 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447501358 | NPI | - | NPPES |
| 100195260A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007873 (Indiana) | Primary |
Green Dental Of Owen County Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Spencer, IN 47460 Phone: 812-829-2261 Fax: 812-829-2263 | |
Kenfield Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Fairview Ave, Spencer, IN 47460 Phone: 812-829-4886 |