| Mkd Dental Group | |
|
13307 Witmer Rd Grabill IN 46741-9636 | |
| (260) 627-1211 | |
| (260) 627-1277 |
| Full Name | Mkd Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13307 Witmer Rd, Grabill, Indiana |
| Authorized Official Name and Position | Matthew Steven Kolkman (OWNER/DENTIST) |
| Authorized Official Contact | 2606271211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkd Dental Group 13307 Witmer Rd Grabill IN 46741-9636 Ph: (260) 627-1211 | Mkd Dental Group 13307 Witmer Rd Grabill IN 46741-9636 Ph: (260) 627-1211 |
| NPI Number | 1164786133 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164786133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |