| Marshall County Family Dentistry, Pc | |
|
125 S Stewart St Bremen IN 46506-1829 | |
| (574) 645-3037 | |
| Not Available |
| Full Name | Marshall County Family Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 125 S Stewart St, Bremen, Indiana |
| Authorized Official Name and Position | Paul M Mcleod (PRESIDENT) |
| Authorized Official Contact | 5745320011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall County Family Dentistry, Pc 125 S Stewart St Bremen IN 46506-1829 Ph: (574) 645-3037 | Marshall County Family Dentistry, Pc 125 S Stewart St Bremen IN 46506-1829 Ph: (574) 645-3037 |
| NPI Number | 1356753230 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356753230 | NPI | - | NPPES |
| 1790909000 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 200091260A (Indiana) | Primary |
Springer Dental Care Of Bremen Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1712 W Plymouth St, Bremen, IN 46506 Phone: 574-546-2851 |