| Stephanie Litz Dds, Pc | |
|
124 N Indiana St Mooresville IN 46158-1503 | |
| (317) 831-3370 | |
| (317) 831-3370 |
| Full Name | Stephanie Litz Dds, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 124 N Indiana St, Mooresville, Indiana |
| Authorized Official Name and Position | Stephanie Litz (OWNER) |
| Authorized Official Contact | 3178313370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Litz Dds, Pc 124 N Indiana St Mooresville IN 46158-1503 Ph: (317) 831-3370 | Stephanie Litz Dds, Pc 124 N Indiana St Mooresville IN 46158-1503 Ph: (317) 831-3370 |
| NPI Number | 1568844785 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 06/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568844785 | NPI | - | NPPES |
| 100186730 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12009130 (Indiana) | Primary |
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