| Decatur Dental Services, Inc. | |
|
1417 Baker Pl Bluffton IN 46714-1180 | |
| (260) 824-5940 | |
| Not Available |
| Full Name | Decatur Dental Services, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1417 Baker Pl, Bluffton, Indiana |
| Authorized Official Name and Position | Pamela Johnson (DENTIST) |
| Authorized Official Contact | 2608245940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Dental Services, Inc. 1417 Baker Pl Bluffton IN 46714-1180 Ph: (260) 824-5940 | Decatur Dental Services, Inc. 1417 Baker Pl Bluffton IN 46714-1180 Ph: (260) 824-5940 |
| NPI Number | 1144480179 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144480179 | NPI | - | NPPES |
| 200379120A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010359 (Indiana) | Primary |
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