Park Lewis Firebaugh DDS

NPI 1205951977 - Dentist - 1223G0001X

NPI Details
NPI 1205951977
Gender Male
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
819 E FRANKLIN ST
GREENCASTLE IN, 46135-1407, US
Phone (765) 653-5501
Fax (765) 653-9274
Business Location
819 E FRANKLIN ST
GREENCASTLE IN, 46135-1407, US
Phone (765) 653-5501
Fax (765) 653-9274
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12008692
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According to our database, Park Lewis Firebaugh DDS NPI is 1205951977, taxonomy code is 1223G0001X and license number is 12008692, license state is located at Indiana. Park Lewis Firebaugh DDS physically located at 819 E Franklin St, Greencastle IN, 46135-1407. NPI Number Park Lewis Firebaugh DDS has the Individual type.

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1205951977 NPI number is provided on an as is basis without warranty of any kind. 1205951977 is maintained by the National Plan & Provider Enumeration System. The contents of Park Lewis Firebaugh DDS are for informational purposes only.