| Family & Implant Dentistry Of Dale, Llc | |
|
110 W Hammond St Dale IN 47523-8965 | |
| (812) 937-4818 | |
| Not Available |
| Full Name | Family & Implant Dentistry Of Dale, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 W Hammond St, Dale, Indiana |
| Authorized Official Name and Position | Alan Paul Friz (OWNER) |
| Authorized Official Contact | 8129374818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Implant Dentistry Of Dale, Llc Po Box 465 Dale IN 47523-0465 Ph: (812) 937-4818 | Family & Implant Dentistry Of Dale, Llc 110 W Hammond St Dale IN 47523-8965 Ph: (812) 937-4818 |
| NPI Number | 1538682869 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 07/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538682869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12008787A (Indiana) | Primary |
Nicholas Olinger Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W Hammond St, Dale, IN 47523 Phone: 812-937-4818 Fax: 812-937-4827 |