Jasper Family Dentistry P.c.

NPI #1215312319 in Jasper, Indiana

Provider Information

NPI Number: 1215312319
Entity Type: Organization
Organization Name: Jasper Family Dentistry P.c.
Primary Specialty: Dentist
Enumeration Date: Jul 30, 2015
Last Updated: Jul 30, 2015

Practice Location

Address: 715 MACARTHUR ST
City: Jasper
State: Indiana
ZIP Code: 47546-2621
Phone: (812) 482-6610

Authorized Official

Name: CHRIS DRAKE
Title: OFFICE MANAGER
Phone: (812) 482-6610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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