| Stradley Hagerty Llc | |
|
112 E. Tenth St Greensburg IN 47240-8202 | |
| (812) 663-2503 | |
| (812) 663-6665 |
| Full Name | Stradley Hagerty Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 E. Tenth St, Greensburg, Indiana |
| Authorized Official Name and Position | Lesley E Best (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 8126632503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stradley Hagerty Llc 112 E. Tenth St Greensburg IN 47240-8202 Ph: (812) 663-2503 | Stradley Hagerty Llc 112 E. Tenth St Greensburg IN 47240-8202 Ph: (812) 663-2503 |
| NPI Number | 1407061013 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 05/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407061013 | NPI | - | NPPES |
| 200859770A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7386 (Indiana) | Primary |
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