| Charles R. Hutton D.d.s.,pc | |
|
201 E Adams St Winamac IN 46996-1567 | |
| (574) 946-6820 | |
| (574) 946-4323 |
| Full Name | Charles R. Hutton D.d.s.,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 E Adams St, Winamac, Indiana |
| Authorized Official Name and Position | Charles Randall Hutton (PRESIDENT) |
| Authorized Official Contact | 5749466820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R. Hutton D.d.s.,pc 201 E Adams St Winamac IN 46996-1567 Ph: (574) 946-6820 | Charles R. Hutton D.d.s.,pc 201 E Adams St Winamac IN 46996-1567 Ph: (574) 946-6820 |
| NPI Number | 1083727291 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083727291 | NPI | - | NPPES |
| 100210570A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54000691A (Indiana) | Primary |