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Charles R. Hutton D.d.s.,pc
Dental Clinic/Center in Winamac, Indiana
NPI 1083727291

Charles R. Hutton D.d.s.,pc is a Dental Clinic/Center based in Winamac, IN and is specialized in Dental. Charles R. Hutton D.d.s.,pc practices in Winamac, IN. The NPI Number for Charles R. Hutton D.d.s.,pc is 1083727291 and holds a License No. 54000691A (Indiana).

The current practice location address for Charles R. Hutton D.d.s.,pc is 201 E Adams St, Winamac, IN and can be reached out via phone at 574-946-6820 and via fax at 574-946-4323.

Location: 201 E Adams St, Winamac, IN, 46996-1567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083727291
Provider Name
Charles R. Hutton D.d.s.,pc
Credential
Provider Entity Type
Organization
Address
201 E Adams St, Winamac, IN, 46996-1567
Phone Number
574-946-6820
Fax Number
574-946-4323
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100210570A 05 IN
institution
Provider Business Practice Location Address Details
Address
201 E Adams St
City
Winamac
State
Indiana
Zip
46996-1567
Phone Number
574-946-6820
Fax Number
574-946-4323
person
Provider Business Mailing Address Details
Address
201 E Adams St
City
Winamac
State
Indiana
Zip
46996-1567
Phone Number
574-946-6820
Fax Number
574-946-4323
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
54000691A (Indiana)
Definition
Definition to come...
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