| Crossings Clinic Llc | |
|
5140 Charlestown Rd New Albany IN 47150-9475 | |
| (812) 941-9000 | |
| Not Available |
| Full Name | Crossings Clinic Llc |
|---|---|
| Speciality | Dentist |
| Location | 5140 Charlestown Rd, New Albany, Indiana |
| Authorized Official Name and Position | Michael Rowe (GENERAL MANAGER) |
| Authorized Official Contact | 8129419000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossings Clinic Llc 5104 Charlestown Rd New Albany IN 47150-9429 Ph: (812) 941-9000 | Crossings Clinic Llc 5140 Charlestown Rd New Albany IN 47150-9475 Ph: (812) 941-9000 |
| NPI Number | 1871971887 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 2466760160 |
|---|---|
| Medicare Enrollment ID | O20170816004143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871971887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Indiana) | Primary |
| Provider Name | Tracy Marie Guilford |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124240411 PECOS PAC ID: 8325369440 Enrollment ID: I20170817002244 |
| Provider Name | Sara Lynn Denzinger-rowe |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417178484 PECOS PAC ID: 2466773080 Enrollment ID: I20170817002398 |
| Provider Name | Courtney L Jones |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083137293 PECOS PAC ID: 0941531438 Enrollment ID: I20191015001003 |
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