| Kenneth J Patterson DDS LLC | |
|
1608 W Yale Ave Muncie IN 47304-1569 | |
| (765) 288-4882 | |
| Not Available |
| Full Name | Kenneth J Patterson DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 1608 W Yale Ave, Muncie, Indiana |
| Authorized Official Name and Position | Kenneth J Patterson (OWNER) |
| Authorized Official Contact | 7652884882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Patterson DDS LLC 1608 W Yale Ave Muncie IN 47304-1569 Ph: (765) 288-4882 | Kenneth J Patterson DDS LLC 1608 W Yale Ave Muncie IN 47304-1569 Ph: (765) 288-4882 |
| NPI Number | 1417330481 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417330481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011558A (Indiana) | Primary |
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