| Kentland Family Dentistry | |
|
310 E Lincoln St Kentland IN 47951-1135 | |
| (219) 474-5059 | |
| Not Available |
| Full Name | Kentland Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 310 E Lincoln St, Kentland, Indiana |
| Authorized Official Name and Position | Melinda Sue Bodine (ASSOCIATE) |
| Authorized Official Contact | 2194745059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentland Family Dentistry 310 E Lincoln St Kentland IN 47951-1135 Ph: (219) 474-5059 | Kentland Family Dentistry 310 E Lincoln St Kentland IN 47951-1135 Ph: (219) 474-5059 |
| NPI Number | 1366854143 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366854143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1639581507 (Indiana) | Primary |