| Pediatric Dentistry Of Prospect | |
|
900 Spring St Ste B Jeffersonville IN 47130-3676 | |
| (812) 288-8131 | |
| (812) 280-7184 |
| Full Name | Pediatric Dentistry Of Prospect |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 900 Spring St Ste B, Jeffersonville, Indiana |
| Authorized Official Name and Position | Danielle M Haman-smith (OWNER/PRESIDENT) |
| Authorized Official Contact | 5022921160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Prospect 900 Spring St Ste B Jeffersonville IN 47130-3676 Ph: (812) 288-8131 | Pediatric Dentistry Of Prospect 900 Spring St Ste B Jeffersonville IN 47130-3676 Ph: (812) 288-8131 |
| NPI Number | 1275906901 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275906901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12011253A (Indiana) | Primary |
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