| Carl A. Smudde | |
|
1608 Lafayette Ave Terre Haute IN 47804-2021 | |
| (812) 466-9826 | |
| (812) 466-1720 |
| Full Name | Carl A. Smudde |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1608 Lafayette Ave, Terre Haute, Indiana |
| Authorized Official Name and Position | Carl A Smudde (DENTIST) |
| Authorized Official Contact | 8124669826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl A. Smudde 1608 Lafayette Ave Terre Haute IN 47804-2021 Ph: (812) 466-9826 | Carl A. Smudde 1608 Lafayette Ave Terre Haute IN 47804-2021 Ph: (812) 466-9826 |
| NPI Number | 1134424930 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134424930 | NPI | - | NPPES |
| 100250380A | Other | IN | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007519 (Indiana) | Primary |
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