| Kids Dentistree Of In, Llc | |
|
1602 W Mcclain Ave Scottsburg IN 47170-1161 | |
| (502) 254-8500 | |
| Not Available |
| Full Name | Kids Dentistree Of In, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1602 W Mcclain Ave, Scottsburg, Indiana |
| Authorized Official Name and Position | Jeff Reibel (CFO) |
| Authorized Official Contact | 5022548500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentistree Of In, Llc Po Box 437169 Louisville KY 40253-7169 Ph: () - | Kids Dentistree Of In, Llc 1602 W Mcclain Ave Scottsburg IN 47170-1161 Ph: (502) 254-8500 |
| NPI Number | 1760048748 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760048748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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