| Maple Family Dentistry Llc | |
|
718 E Broadway Logansport IN 46947-3158 | |
| (574) 753-4717 | |
| (574) 732-1076 |
| Full Name | Maple Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 718 E Broadway, Logansport, Indiana |
| Authorized Official Name and Position | Wendy Diann Maple (OWNER) |
| Authorized Official Contact | 5747534717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Family Dentistry Llc 718 E Broadway Logansport IN 46947-3158 Ph: (574) 753-4717 | Maple Family Dentistry Llc 718 E Broadway Logansport IN 46947-3158 Ph: (574) 753-4717 |
| NPI Number | 1073656740 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073656740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12010584A (Indiana) | Primary |
Lewis Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E Broadway, Logansport, IN 46947 Phone: 574-722-3107 Fax: 574-722-1080 | |
Jack E. Goris D.d.s.,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 Chase Rd, Logansport, IN 46947 Phone: 574-753-4542 Fax: 574-722-5059 | |
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