| Robert E Wall Dds, Pc | |
|
753 W Main St Madison IN 47250-3150 | |
| (812) 265-5962 | |
| (812) 273-1085 |
| Full Name | Robert E Wall Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 753 W Main St, Madison, Indiana |
| Authorized Official Name and Position | Robert E Wall (OWNER) |
| Authorized Official Contact | 8122655962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Wall Dds, Pc 753 W Main St Madison IN 47250-3150 Ph: (812) 265-5962 | Robert E Wall Dds, Pc 753 W Main St Madison IN 47250-3150 Ph: (812) 265-5962 |
| NPI Number | 1255402665 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255402665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007187 (Indiana) | Primary |
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