| Tristate Family Dnetal Centers | |
|
800 1st Ave Evansville IN 47710-1938 | |
| (812) 425-4206 | |
| (812) 423-4466 |
| Full Name | Tristate Family Dnetal Centers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 1st Ave, Evansville, Indiana |
| Authorized Official Name and Position | Martha Fisher (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8124254206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Family Dnetal Centers 800 1st Ave Evansville IN 47710-1938 Ph: (812) 425-4206 | Tristate Family Dnetal Centers 800 1st Ave Evansville IN 47710-1938 Ph: (812) 425-4206 |
| NPI Number | 1043203235 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043203235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54000097A (Indiana) | Primary |
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