| White River Dental Llc | |
|
2459 W Jonathan Moore Pike Columbus IN 47201-9206 | |
| (812) 378-5500 | |
| Not Available |
| Full Name | White River Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2459 W Jonathan Moore Pike, Columbus, Indiana |
| Authorized Official Name and Position | Aaron W Strickland (PRESIDENT) |
| Authorized Official Contact | 3174325214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White River Dental Llc 5530 Brentwick Pl Indianapolis IN 46237-6393 Ph: (317) 432-5214 | White River Dental Llc 2459 W Jonathan Moore Pike Columbus IN 47201-9206 Ph: (812) 378-5500 |
| NPI Number | 1194963181 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194963181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010768A (Indiana) | Primary |
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