Affordable Dentures -Terre Haute,P.C.
Organization Active NPI Dentist · Terre Haute, IN
NPI 1013055797 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013055797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12010393A (IN)
- Legal business name
- AFFORDABLE DENTURES -TERRE HAUTE,P.C.
- Practice address
- 2801 S Anton St
Terre Haute, IN 47803-9747 - Phone
- (812) 877-6724
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Glen Middaugh, DDS
- Title
- Owner
- Phone
- (812) 877-6724
Corporate family (same tax ID) 1
Practitioners 1
-
Glen D Middaugh, DDS
National Provider Directory
- Tax ID family
- Affordable Dentures - Terre Haute PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12010393A | IN | Yes |
Addresses
Primary practice location
2801 S Anton St
Terre Haute, IN 47803-9747
Mailing address
2801 S Anton St
Terre Haute, IN 47803-9747
Phone (812) 877-6724
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.