| Scottsburg Family Dentistry Llc | |
|
1366 N Gardner St Scottsburg IN 47170-7793 | |
| (812) 752-3524 | |
| Not Available |
| Full Name | Scottsburg Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1366 N Gardner St, Scottsburg, Indiana |
| Authorized Official Name and Position | William R Little (CO-OWNER) |
| Authorized Official Contact | 8702434406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsburg Family Dentistry Llc 1366 N Gardner St Scottsburg IN 47170-7793 Ph: (812) 752-3524 | Scottsburg Family Dentistry Llc 1366 N Gardner St Scottsburg IN 47170-7793 Ph: (812) 752-3524 |
| NPI Number | 1790245504 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 03/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790245504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
A L Dehaven Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1366 N Gardner St, Box 330, Scottsburg, IN 47170 Phone: 812-752-3524 Fax: 812-752-9195 | |
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