John Patrick Click, D.D.S.

Individual provider Active NPI General Practice Dentistry · Floyds Knobs, IN

NPI 1174622658 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174622658
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12008847 (IN)
Practice address
6868 Old Vincennes Rd
Floyds Knobs, IN 47119-9400
Phone
(812) 633-4209
Fax
(812) 633-4451
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12008847INMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008847 IN Yes

Addresses

Primary practice location

6868 Old Vincennes Rd
Floyds Knobs, IN 47119-9400

Mailing address

212 Hancock St
Milltown, IN 47145-4900
Phone (812) 633-4209

Other providers in Floyds Knobs, IN

All providers in Floyds Knobs, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.