Organization · Type 2 NPI
Advanced Dental Care of Fortville, LLC
Dental Clinic/Center · Fortville, IN
NPI number
1205454014
Active
Practice location
545 Vitality Dr Ste F
Fortville, IN 46040-1373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1205454014
Advanced Dental Care of Fortville, LLC's National Provider Identifier is 1205454014, issued on Jul 8, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fortville, IN. The record was last updated on Jul 8, 2020.