| Matthew B Monesmith DDS PC | |
|
2005 St Charles Street Suite 2 Jasper IN 47546-9146 | |
| (812) 482-2280 | |
| (812) 482-4218 |
| Full Name | Matthew B Monesmith DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 2005 St Charles Street, Jasper, Indiana |
| Authorized Official Name and Position | Matthew Brian Monesmith (PRESIDENT ORAL SURGEON) |
| Authorized Official Contact | 8124822280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew B Monesmith DDS PC 2005 St Charles Street Suite 2 Jasper IN 47546-9146 Ph: (812) 482-2280 | Matthew B Monesmith DDS PC 2005 St Charles Street Suite 2 Jasper IN 47546-9146 Ph: (812) 482-2280 |
| NPI Number | 1205854791 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496709149 |
|---|---|
| Medicare Enrollment ID | O20050307000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205854791 | NPI | - | NPPES |
| 000000351646 | Other | IN | ANTHEM |
| 000000093454 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12009891A (Indiana) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12009137 (Indiana) | Primary |
| Provider Name | Matthew B Monesmith |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1285771980 PECOS PAC ID: 0042264616 Enrollment ID: I20050307000335 |
| Provider Name | Kyley Alan Wood |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407993181 PECOS PAC ID: 0749234318 Enrollment ID: I20050307000347 |
Wilson and Pfau Family Dentistry LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 288 Northwood Ave, Jasper, IN 47546 Phone: 812-482-1855 Fax: 812-634-6833 |
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Kizior & Young Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 Saint Charles St, Suite 3, Jasper, IN 47546 Phone: 812-634-2040 Fax: 812-482-7405 |
Jasper Family Dentistry P.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 Macarthur St, Jasper, IN 47546 Phone: 812-482-6610 Fax: 812-634-6610 |