| Kluth Family Dentistry Inc. | |
|
2204 S Park Ave Alexandria IN 46001-8059 | |
| (765) 724-7729 | |
| (765) 724-9519 |
| Full Name | Kluth Family Dentistry Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2204 S Park Ave, Alexandria, Indiana |
| Authorized Official Name and Position | Betty J Sizelove (OFFICE MANAGER) |
| Authorized Official Contact | 7657247729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kluth Family Dentistry Inc. 2204 S Park Ave Alexandria IN 46001-8059 Ph: (765) 724-7729 | Kluth Family Dentistry Inc. 2204 S Park Ave Alexandria IN 46001-8059 Ph: (765) 724-7729 |
| NPI Number | 1053402198 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053402198 | NPI | - | NPPES |
| 000000089901 | Other | IN | ANTHEM BLUE CROSS |
| 784991 | Other | IN | MILITARY |
| 000000189293 | Other | IN | ANTHEM BLUE CROSS BLUE SH |
| 9177506 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12009126 (Indiana) | Primary |
Corey Martinez Dds Llc- Binford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 S Park Ave, Alexandria, IN 46001 Phone: 765-204-2223 | |
Alexandria Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 S Harrison St, Alexandria, IN 46001 Phone: 765-724-7777 |