Orange County Family Dentistry
Clinic/Center, Dental in Paoli, IN. Organization (NPI-2).
NPI number1720175151
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720175151
- Entity type
- Organization (NPI-2)
- Legal business name
- Orange County Family Dentistry
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 12007674A | IN | Yes |
Other names
- Michael K Van Emon DDS PC (Former Legal Business Name)
Practice location
488 W Hospital RdPaoli, IN 47454-8807
Phone 812-723-3959 · Fax 812-723-3909
Mailing address
488 W Hospital RdPaoli, IN 47454-8807
Phone 812-723-3959 · Fax 812-723-3909
Authorized official
Michael K Van Emon
President
8127233959
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