| Evansville Endodontics | |
|
1449 Kimber Lane Ste 103a Evansville IN 47715 | |
| (812) 402-9600 | |
| Not Available |
| Full Name | Evansville Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1449 Kimber Lane, Evansville, Indiana |
| Authorized Official Name and Position | James William Blackburn (DENTIST) |
| Authorized Official Contact | 8124029600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evansville Endodontics 1449 Kimber Lane Ste 103a Evansville IN 47715 Ph: (812) 402-9600 | Evansville Endodontics 1449 Kimber Lane Ste 103a Evansville IN 47715 Ph: (812) 402-9600 |
| NPI Number | 1306948419 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306948419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12010139A (Indiana) | Secondary |
| 1223E0200X | Dentist - Endodontics | 12010141A (Indiana) | Primary |
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