| R Matthew Maddox Dentistry, Llc | |
|
1200 N Walnut St Hartford City IN 47348-1338 | |
| (765) 348-4111 | |
| Not Available |
| Full Name | R Matthew Maddox Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1200 N Walnut St, Hartford City, Indiana |
| Authorized Official Name and Position | Raymond Matthew Maddox (OWNER/DENTIST) |
| Authorized Official Contact | 7653484111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Matthew Maddox Dentistry, Llc 1200 N Walnut St Hartford City IN 47348-1338 Ph: (765) 348-4111 | R Matthew Maddox Dentistry, Llc 1200 N Walnut St Hartford City IN 47348-1338 Ph: (765) 348-4111 |
| NPI Number | 1093167884 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093167884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011570A (Indiana) | Primary |