| Mini Dental Implant Centers Of America Llc | |
|
2001 S Tiger Drive Yorktown IN 47396 | |
| (765) 759-8351 | |
| (765) 759-8749 |
| Full Name | Mini Dental Implant Centers Of America Llc |
|---|---|
| Speciality | Dentist |
| Location | 2001 S Tiger Drive, Yorktown, Indiana |
| Authorized Official Name and Position | Stephen J Gant (DENTIST) |
| Authorized Official Contact | 7657598351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mini Dental Implant Centers Of America Llc 2001 S Tiger Drive Yorktown IN 47396 Ph: (765) 759-8351 | Mini Dental Implant Centers Of America Llc 2001 S Tiger Drive Yorktown IN 47396 Ph: (765) 759-8351 |
| NPI Number | 1699033944 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699033944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12007237 (Indiana) | Primary |
Yorktown Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 S Tiger Dr, Yorktown, IN 47396 Phone: 765-759-2273 | |
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