| Stutsman Dentistry | |
|
1801 Charlton Ct Goshen IN 46526-6464 | |
| (574) 533-8934 | |
| (574) 533-9487 |
| Full Name | Stutsman Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 Charlton Ct, Goshen, Indiana |
| Authorized Official Name and Position | Chad G. Stutsman (OWNER) |
| Authorized Official Contact | 5745338934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stutsman Dentistry 1801 Charlton Ct Goshen IN 46526-6464 Ph: (574) 533-8934 | Stutsman Dentistry 1801 Charlton Ct Goshen IN 46526-6464 Ph: (574) 533-8934 |
| NPI Number | 1356562631 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356562631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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