| Dr Frederic Clyde Rather Dmd Pc | |
|
9042 Columbia Ave Suite A Munster IN 46321-2905 | |
| (219) 836-5656 | |
| (219) 836-0455 |
| Full Name | Dr Frederic Clyde Rather Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 9042 Columbia Ave, Munster, Indiana |
| Authorized Official Name and Position | Frederic Clyde Rather (DENTIST) |
| Authorized Official Contact | 2198365656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederic Clyde Rather Dmd Pc 9042 Columbia Ave Suite A Munster IN 46321-2905 Ph: (219) 836-5656 | Dr Frederic Clyde Rather Dmd Pc 9042 Columbia Ave Suite A Munster IN 46321-2905 Ph: (219) 836-5656 |
| NPI Number | 1316029374 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316029374 | NPI | - | NPPES |
| 1447260732 | Other | INDIVISUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12008608A (Indiana) | Primary |
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