| Creekside Cosmetic And Family Dentistry | |
|
410 W Main St Plainfield IN 46168 | |
| (317) 839-3502 | |
| Not Available |
| Full Name | Creekside Cosmetic And Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 410 W Main St, Plainfield, Indiana |
| Authorized Official Name and Position | Reed Ellis Johnson (PRES OWNER) |
| Authorized Official Contact | 3178393502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Cosmetic And Family Dentistry 410 W Main St Plainfield IN 46168 Ph: (317) 839-3502 | Creekside Cosmetic And Family Dentistry 410 W Main St Plainfield IN 46168 Ph: (317) 839-3502 |
| NPI Number | 1801082656 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801082656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009024 (Indiana) | Primary |
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