| Kids Dentistree - Corydon Llc | |
|
2086 Old Hwy 135 Nw Corydon IN 47112-4015 | |
| (812) 572-4999 | |
| Not Available |
| Full Name | Kids Dentistree - Corydon Llc |
|---|---|
| Speciality | Dentist |
| Location | 2086 Old Hwy 135 Nw, Corydon, Indiana |
| Authorized Official Name and Position | Stephen C James (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentistree - Corydon Llc 2086 Old Hwy 135 Nw Corydon IN 47112-4015 Ph: (812) 572-4999 | Kids Dentistree - Corydon Llc 2086 Old Hwy 135 Nw Corydon IN 47112-4015 Ph: (812) 572-4999 |
| NPI Number | 1922530419 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922530419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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