| Huntington Dental Group, P.c. | |
|
22 Vine St Huntington IN 46750-1409 | |
| (260) 356-9550 | |
| Not Available |
| Full Name | Huntington Dental Group, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22 Vine St, Huntington, Indiana |
| Authorized Official Name and Position | Richard W Spencer (SECRETARY) |
| Authorized Official Contact | 2603569550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Dental Group, P.c. 22 Vine St Huntington IN 46750-1409 Ph: (260) 356-9550 | Huntington Dental Group, P.c. 22 Vine St Huntington IN 46750-1409 Ph: (260) 356-9550 |
| NPI Number | 1003155300 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003155300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54000832A (Indiana) | Primary |
D'vine Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Vine St, Huntington, IN 46750 Phone: 260-356-9550 Fax: 260-356-5181 | |
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