| Huntertown Dental Services, Inc. | |
|
14932 Lima Rd Huntertown IN 46748-9275 | |
| (260) 637-5848 | |
| (260) 637-6153 |
| Full Name | Huntertown Dental Services, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 14932 Lima Rd, Huntertown, Indiana |
| Authorized Official Name and Position | Linda Marie Brezausek-sodano (DENTIST/OWNER) |
| Authorized Official Contact | 2606375848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntertown Dental Services, Inc. 14932 Lima Rd Huntertown IN 46748-9275 Ph: (260) 637-5848 | Huntertown Dental Services, Inc. 14932 Lima Rd Huntertown IN 46748-9275 Ph: (260) 637-5848 |
| NPI Number | 1902272081 |
|---|---|
| Provider Enumeration Date | 08/12/2015 |
| Last Update Date | 08/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902272081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54000888A (Indiana) | Primary |
Huntertown Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14932 Lima Rd, Huntertown, IN 46748 Phone: 260-637-5848 Fax: 260-637-5848 |