| Larry D Rothenberger, Inc | |
|
1253 S Jackson St Frankfort IN 46041-3312 | |
| (765) 659-3351 | |
| (765) 659-9037 |
| Full Name | Larry D Rothenberger, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1253 S Jackson St, Frankfort, Indiana |
| Authorized Official Name and Position | Vicki Rutledge (PRACTICE MANAGER/DENTAL HYGIENIST) |
| Authorized Official Contact | 7656593351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Rothenberger, Inc 1253 S Jackson St Frankfort IN 46041-3312 Ph: (765) 659-3351 | Larry D Rothenberger, Inc 1253 S Jackson St Frankfort IN 46041-3312 Ph: (765) 659-3351 |
| NPI Number | 1578940409 |
|---|---|
| Provider Enumeration Date | 04/29/2015 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578940409 | NPI | - | NPPES |
| 100082810A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007174A (Indiana) | Primary |
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