R Matthew Maddox Dentistry, LLC

NPI #1093167884 in Hartford City, Indiana

Provider Information

NPI Number: 1093167884
Entity Type: Organization
Organization Name: R Matthew Maddox Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 6, 2016
Last Updated: Jul 6, 2016

Practice Location

Address: 1200 N WALNUT ST
City: Hartford City
State: Indiana
ZIP Code: 47348-1338
Phone: (765) 348-4111

Authorized Official

Name: RAYMOND MATTHEW MADDOX
Title: OWNER/DENTIST
Phone: (765) 348-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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