Dr. Charles Randall Hutton, D.D.S.
Dentist, General Practice in Winamac, IN. Individual provider (NPI-1).
NPI number1265545461
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265545461
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Randall Hutton
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12007612A | IN | Yes |
Practice location
201 E Adams StWinamac, IN 46996-1567
Phone 574-946-6747 · Fax 574-946-4323
Mailing address
201 E Adams StWinamac, IN 46996-1567
Phone 574-946-6747 · Fax 574-946-4323
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