| Jaress Family Dentistry Pc | |
|
1934 W Lincoln Ave Goshen IN 46526-5907 | |
| (812) 865-0431 | |
| Not Available |
| Full Name | Jaress Family Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1934 W Lincoln Ave, Goshen, Indiana |
| Authorized Official Name and Position | Amber M Jaress (OWNER) |
| Authorized Official Contact | 8128650431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaress Family Dentistry Pc 5568 E Rogers Ct Syracuse IN 46567-2200 Ph: (812) 865-0431 | Jaress Family Dentistry Pc 1934 W Lincoln Ave Goshen IN 46526-5907 Ph: (812) 865-0431 |
| NPI Number | 1518662378 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 05/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518662378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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