| Hoosier Dental Care Llc | |
|
301 North Warpath Drive Milan IN 47031 | |
| (812) 654-2951 | |
| (812) 654-3069 |
| Full Name | Hoosier Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 301 North Warpath Drive, Milan, Indiana |
| Authorized Official Name and Position | Rodney Nicholas Cost (OWNER) |
| Authorized Official Contact | 8126542951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoosier Dental Care Llc 301 North Warpath Drive Po Box 306 Milan IN 47031-9530 Ph: (812) 654-2951 | Hoosier Dental Care Llc 301 North Warpath Drive Milan IN 47031 Ph: (812) 654-2951 |
| NPI Number | 1275760688 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 06/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275760688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Brian T. Lee, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Warpath Dr, Milan, IN 47031 Phone: 812-654-2951 Fax: 812-654-3069 |