Comfort Dental Of Anderson, Pc | |
820 E 53rd St Anderson IN 46013-1731 | |
(765) 642-9811 | |
Not Available |
Full Name | Comfort Dental Of Anderson, Pc |
---|---|
Speciality | Dentist |
Location | 820 E 53rd St, Anderson, Indiana |
Authorized Official Name and Position | Brian S. Stratman (OWNER) |
Authorized Official Contact | 7656429811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Comfort Dental Of Anderson, Pc 820 E 53rd St Anderson IN 46013-1731 Ph: (765) 642-9811 | Comfort Dental Of Anderson, Pc 820 E 53rd St Anderson IN 46013-1731 Ph: (765) 642-9811 |
NPI Number | 1346523263 |
---|---|
Provider Enumeration Date | 09/27/2011 |
Last Update Date | 09/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346523263 | NPI | - | NPPES |
200248810A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12010195 (Indiana) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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› Verified 5 days ago
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