| Fremont Family Dentistry, P.c. | |
|
1003 W Toledo Street Fremont IN 46737-0667 | |
| (260) 495-2255 | |
| (260) 495-9023 |
| Full Name | Fremont Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1003 W Toledo Street, Fremont, Indiana |
| Authorized Official Name and Position | Susan H. Mauk (PRESIDENT) |
| Authorized Official Contact | 2604952255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fremont Family Dentistry, P.c. P.o. Box 667 Fremont IN 46737-0667 Ph: (260) 495-2255 | Fremont Family Dentistry, P.c. 1003 W Toledo Street Fremont IN 46737-0667 Ph: (260) 495-2255 |
| NPI Number | 1871715359 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871715359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 012537445 001 7 (Indiana) | Primary |