| Dehaven Family Dental Llc | |
|
3225 Nichol Ave Anderson IN 46011-3148 | |
| (765) 642-7717 | |
| Not Available |
| Full Name | Dehaven Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3225 Nichol Ave, Anderson, Indiana |
| Authorized Official Name and Position | William R Little (CO-OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dehaven Family Dental Llc 3225 Nichol Ave Anderson IN 46011-3148 Ph: (765) 642-7717 | Dehaven Family Dental Llc 3225 Nichol Ave Anderson IN 46011-3148 Ph: (765) 642-7717 |
| NPI Number | 1457810335 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 03/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457810335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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