| Salem Family Dental, Llc | |
|
100 N Harrison St Salem IN 47167-1426 | |
| (812) 883-5804 | |
| (812) 883-0603 |
| Full Name | Salem Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 N Harrison St, Salem, Indiana |
| Authorized Official Name and Position | Tricia K Wheeler (SOLE MEMBER) |
| Authorized Official Contact | 8128835804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salem Family Dental, Llc 2126 N State Road 135 Salem IN 47167-6005 Ph: (821) 620-1633 | Salem Family Dental, Llc 100 N Harrison St Salem IN 47167-1426 Ph: (812) 883-5804 |
| NPI Number | 1437669967 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437669967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010386 (Indiana) | Primary |
Gene F Hedrick Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 North Harrison Street, Salem, IN 47167 Phone: 812-883-5804 Fax: 812-883-0603 | |
Martin F Kennedy Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S State Rd 135, Salem, IN 47167 Phone: 812-883-2791 Fax: 812-883-4007 |