| Young Greenfield Dental Practice Llc | |
|
1798 Melody Ln Greenfield IN 46140-1191 | |
| (317) 468-9996 | |
| Not Available |
| Full Name | Young Greenfield Dental Practice Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1798 Melody Ln, Greenfield, Indiana |
| Authorized Official Name and Position | Randy C Young (PRESIDENT) |
| Authorized Official Contact | 3179023185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Greenfield Dental Practice Llc 2850 E Fairway Village Dr Greenfield IN 46140-8160 Ph: (317) 902-3185 | Young Greenfield Dental Practice Llc 1798 Melody Ln Greenfield IN 46140-1191 Ph: (317) 468-9996 |
| NPI Number | 1699303446 |
|---|---|
| Provider Enumeration Date | 03/28/2020 |
| Last Update Date | 03/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699303446 | NPI | - | NPPES |
| 1396966073 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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