Fremont Family Dentistry, P.c.

NPI 1871715359 - Dentist - 1223G0001X

NPI Details
NPI 1871715359
Enumeration Date 05/03/2007
Last Updated 05/17/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN H. SUSAN
Position PRESIDENT
Phone (260) 495-2255
Fax (260) 495-9023
Practice Location
1003 W TOLEDO STREET
FREMONT IN, 46737-0667, US
Phone (260) 495-2255
Fax (260) 495-9023
Business Location
P.O. BOX 667
FREMONT IN, 46737-0667, US
Phone (260) 495-2255
Fax (260) 495-9023
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 012537445 001 7
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According to our database, Fremont Family Dentistry, P.c. NPI is 1871715359, taxonomy code is 1223G0001X and license number is 012537445 001 7, license state is located at Indiana. Fremont Family Dentistry, P.c. physically located at 1003 W Toledo Street, Fremont IN, 46737-0667. NPI Number 1033115704 has the healthcare provider type.

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1871715359 NPI number is provided on an as is basis without warranty of any kind. 1871715359 is maintained by the National Plan & Provider Enumeration System. The contents of Fremont Family Dentistry, P.c. are for informational purposes only.