| Sisson Family Dentistry Inc | |
|
7550 S State Road 67 Pendleton IN 46064-8961 | |
| (765) 778-2700 | |
| (765) 778-8600 |
| Full Name | Sisson Family Dentistry Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7550 S State Road 67, Pendleton, Indiana |
| Authorized Official Name and Position | James A Sisson (OWNER) |
| Authorized Official Contact | 7657782700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisson Family Dentistry Inc 7550 S State Road 67 Pendleton IN 46064-8961 Ph: (765) 778-2700 | Sisson Family Dentistry Inc 7550 S State Road 67 Pendleton IN 46064-8961 Ph: (765) 778-2700 |
| NPI Number | 1972067569 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972067569 | NPI | - | NPPES |
| 200242770A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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