| Greencastle 20/20 Dental, Llc | |
|
819 E Franklin St Greencastle IN 46135-1691 | |
| (765) 653-5501 | |
| Not Available |
| Full Name | Greencastle 20/20 Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 819 E Franklin St, Greencastle, Indiana |
| Authorized Official Name and Position | Ronald I Prokes (OWNER) |
| Authorized Official Contact | 3177271534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greencastle 20/20 Dental, Llc 819 E Franklin St Greencastle IN 46135-1691 Ph: (765) 653-5501 | Greencastle 20/20 Dental, Llc 819 E Franklin St Greencastle IN 46135-1691 Ph: (765) 653-5501 |
| NPI Number | 1699173070 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699173070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12011722A (Indiana) | Primary |
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