| Decatur Dental Services, Inc | |
|
470 Bennett Dr Ste C Warren IN 46792-9273 | |
| (260) 468-7020 | |
| Not Available |
| Full Name | Decatur Dental Services, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 470 Bennett Dr Ste C, Warren, Indiana |
| Authorized Official Name and Position | Abigail Colclasure (DENTIST) |
| Authorized Official Contact | 2604687020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Dental Services, Inc 470 Bennett Dr Ste C Warren IN 46792-9273 Ph: (260) 468-7020 | Decatur Dental Services, Inc 470 Bennett Dr Ste C Warren IN 46792-9273 Ph: (260) 468-7020 |
| NPI Number | 1477356806 |
|---|---|
| Provider Enumeration Date | 03/31/2025 |
| Last Update Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477356806 | NPI | - | NPPES |
| 201376990 | Medicaid | IN | |
| 201368560 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |