| Dawson Family Dentistry | |
|
1669 E Main St Danville IN 46122-9468 | |
| (317) 745-5173 | |
| (317) 745-5023 |
| Full Name | Dawson Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1669 E Main St, Danville, Indiana |
| Authorized Official Name and Position | Amy L Kaminski (BUSINESS MANAGER) |
| Authorized Official Contact | 3177455173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawson Family Dentistry 1669 E Main St Danville IN 46122-9468 Ph: (317) 745-5173 | Dawson Family Dentistry 1669 E Main St Danville IN 46122-9468 Ph: (317) 745-5173 |
| NPI Number | 1144740366 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4082044946 |
|---|---|
| Medicare Enrollment ID | O20200417001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144740366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011067A (Indiana) | Primary |
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