| South Central Endodontics | |
|
3200 Middle Dr Columbus IN 47203-4426 | |
| (812) 372-3636 | |
| (812) 378-3636 |
| Full Name | South Central Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3200 Middle Dr, Columbus, Indiana |
| Authorized Official Name and Position | Michael E. Keller (OWNER) |
| Authorized Official Contact | 8123723636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Endodontics 3200 Middle Dr Columbus IN 47203-4426 Ph: (812) 372-3636 | South Central Endodontics 3200 Middle Dr Columbus IN 47203-4426 Ph: (812) 372-3636 |
| NPI Number | 1922200567 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922200567 | NPI | - | NPPES |
| 405356 | Other | IN | UNITED CONCORDIA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12008103B (Indiana) | Primary |
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