| Bedford Pediatric Dentistry, L.l.c. | |
|
1618 25th St Bedford IN 47421-5000 | |
| (812) 355-0855 | |
| (812) 355-0858 |
| Full Name | Bedford Pediatric Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1618 25th St, Bedford, Indiana |
| Authorized Official Name and Position | Kyle Wayne Taylor (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8123550855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Pediatric Dentistry, L.l.c. 1618 25th St Bedford IN 47421-5000 Ph: (812) 355-0855 | Bedford Pediatric Dentistry, L.l.c. 1618 25th St Bedford IN 47421-5000 Ph: (812) 355-0855 |
| NPI Number | 1396117313 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 10/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396117313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Indiana) | Primary |
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