| Dental Care At Columbus Crossing | |
|
2145 W Jonathan Moore Pike Columbus IN 47201-9081 | |
| (812) 618-9110 | |
| Not Available |
| Full Name | Dental Care At Columbus Crossing |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2145 W Jonathan Moore Pike, Columbus, Indiana |
| Authorized Official Name and Position | Kelli Ellsworth (CREDENTIALING) |
| Authorized Official Contact | 2175405152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care At Columbus Crossing 2145 W Jonathan Moore Pike Columbus IN 47201-9081 Ph: (812) 618-9110 | Dental Care At Columbus Crossing 2145 W Jonathan Moore Pike Columbus IN 47201-9081 Ph: (812) 618-9110 |
| NPI Number | 1598158081 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598158081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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