| Dodi R. Woolley Dds, Inc | |
|
534 N Hallock St Demotte IN 46310 | |
| (219) 987-5733 | |
| (219) 987-6162 |
| Full Name | Dodi R. Woolley Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 534 N Hallock St, Demotte, Indiana |
| Authorized Official Name and Position | Dodi R. Woolley (DENTIST) |
| Authorized Official Contact | 2199875733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dodi R. Woolley Dds, Inc Po Box 848 Demotte IN 46310 Ph: (219) 987-5733 | Dodi R. Woolley Dds, Inc 534 N Hallock St Demotte IN 46310 Ph: (219) 987-5733 |
| NPI Number | 1164644498 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164644498 | NPI | - | NPPES |
| 431657 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6974 (Indiana) | Primary |
Preferred Choice Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 N Halleck St, Demotte, IN 46310 Phone: 219-987-5733 Fax: 219-987-6162 | |
Koveck Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 N Halleck St, Demotte, IN 46310 Phone: 219-987-5733 |