Montpelier Family Dentistry LLC

Organization Active NPI Dental Clinic/Center · Montpelier, IN

NPI 1194235036 · NPPES record last updated Oct 5, 2017

Key facts

NPI
1194235036
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
MONTPELIER FAMILY DENTISTRY LLC
Practice address
108 N Main St
Montpelier, IN 47359-1132
Phone
(765) 728-2811
NPI assigned
Oct 5, 2017
Organization subpart
No

Authorized official

Name
Richard Evanseck, DDS
Title
Dentist
Phone
(765) 728-2811

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

108 N Main St
Montpelier, IN 47359
Phone (765) 728-2811

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

108 N Main St
Montpelier, IN 47359-1132

Mailing address

108 N Main St
Montpelier, IN 47359-1132

Other providers in Montpelier, IN

All providers in Montpelier, IN · Dental Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.