NPI 1699033944

Mini Dental Implant Centers of America LLC

Organisation Dentist Yorktown, IN

Practice location

Address: 2001 S Tiger Drive, Yorktown, IN 47396
Phone: (765) 759-8351
Fax: (765) 759-8749

Authorised official

Name: Stephen J Gant
Title: Dentist
Phone: (765) 759-8351

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12007237 (IN)

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Registry record

NPI: 1699033944
Entity type: Organization
NPI issued: 24 Apr 2012
Record last updated: 24 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.