| Boatright Dental Group | |
|
125 E Washington St Greencastle IN 46135-1511 | |
| (765) 653-3393 | |
| (765) 653-6397 |
| Full Name | Boatright Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 E Washington St, Greencastle, Indiana |
| Authorized Official Name and Position | Gina Marie Norman-boatright (PRESIDENT) |
| Authorized Official Contact | 7656533393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boatright Dental Group Po Box 94 Greencastle IN 46135-0094 Ph: (765) 653-3393 | Boatright Dental Group 125 E Washington St Greencastle IN 46135-1511 Ph: (765) 653-3393 |
| NPI Number | 1104947290 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104947290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010755A (Indiana) | Primary |
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