| Oral Surgery Group of Clarksville, LLC | |
|
1516 Lynch Ln Sute B Clarksville IN 47129-2234 | |
| (812) 285-8890 | |
| (812) 285-8891 |
| Full Name | Oral Surgery Group of Clarksville, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1516 Lynch Ln, Clarksville, Indiana |
| Authorized Official Name and Position | Steve James (COO) |
| Authorized Official Contact | 5022548504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Group of Clarksville, LLC Po Box 437169 Louisville KY 40253-7169 | Oral Surgery Group of Clarksville, LLC 1516 Lynch Ln Sute B Clarksville IN 47129-2234 Ph: (812) 285-8890 |
| NPI Number | 1689827602 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689827602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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