Steven W Kellett
Clinic/Center, Dental in Linton, IN. Organization (NPI-2).
NPI number1497416366
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1497416366
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven W Kellett
- Organization subpart
- No
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Linton Family Dentistry, LLC (Doing Business As)
Practice location
190 C St NwLinton, IN 47441-1328
Phone 812-847-8646 · Fax 812-847-8761
Mailing address
190 C St NwLinton, IN 47441-1328
Phone 812-847-8646 · Fax 812-847-8761
Authorized official
Steven Kellett
Owner
8128478646
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