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Contact Information

A-1 MEDICAID DENTAL GROUP
610 W 11TH ST
BICKNELL, IN47512-9627
 Phone: 812-735-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A 1 MEDICAID DENTAL GROUP · (Female)

NPI # 1932484649
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2011
Last updated 10/13/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 7704IN
  • IN License # 7719IN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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