is a Dentist in Jasper, Indiana. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1972713980. The last update date is .
's current location address is 255 W 36th St, Jasper, Indiana. You can contact this provider via phone number 8124821060 and fax number 8124824515. The mailing address for is 255 W 36th St, Jasper, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 255 W 36th St, Jasper, Indiana |
| Phone Number | 8124821060 |
| Fax Number | 8124824515 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972713980 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 255 W 36th St |
|---|---|
| City | Jasper |
| State | Indiana (IN) |
| Post Code | 475467820 |
| Phone Number | 8124821060 |
| Fax Number | 8124824515 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009966 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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