| Decatur Dental Services | |
|
447 E Line St Geneva IN 46740-8936 | |
| (260) 368-7500 | |
| (260) 368-7167 |
| Full Name | Decatur Dental Services |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 447 E Line St, Geneva, Indiana |
| Authorized Official Name and Position | David C Baker (DENTIST) |
| Authorized Official Contact | 2603687500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Dental Services 447 E Line St Geneva IN 46740-8936 Ph: (260) 368-7500 | Decatur Dental Services 447 E Line St Geneva IN 46740-8936 Ph: (260) 368-7500 |
| NPI Number | 1760559082 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760559082 | NPI | - | NPPES |
| 100146810 | Medicaid | IN | |
| 200355500 | Medicaid | IN | |
| 300080654 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010412 (Indiana) | Primary |