James R Gill Dds Msd Inc Pc | |
7244 E Virginia Street Evansville IN 47715-4068 | |
(812) 476-1377 | |
(812) 476-1288 |
Full Name | James R Gill Dds Msd Inc Pc |
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Speciality | Dentist |
Location | 7244 E Virginia Street, Evansville, Indiana |
Authorized Official Name and Position | James R Gill (PRESIDENT) |
Authorized Official Contact | 8124761377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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James R Gill Dds Msd Inc Pc 7244 E Virginia Street Evansville IN 47715-4068 Ph: (812) 476-1377 | James R Gill Dds Msd Inc Pc 7244 E Virginia Street Evansville IN 47715-4068 Ph: (812) 476-1377 |
NPI Number | 1366552085 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366552085 | NPI | - | NPPES |
163651 | Other | IN | CSHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12009709 (Indiana) | Primary |
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