institution
Thomas P Judd Dds Llc
Dental Clinic/Center in Goshen, Indiana
NPI 1801300082

Thomas P Judd Dds Llc is a Dental Clinic/Center based in Goshen, IN and is specialized in Dental. Thomas P Judd Dds Llc practices in Goshen, IN. The NPI Number for Thomas P Judd Dds Llc is 1801300082 and holds a License No. 12011153A (Indiana).

The current practice location address for Thomas P Judd Dds Llc is 201 Pringle Dr, Goshen, IN and can be reached out via phone at 574-533-7621 and via fax at 574-533-1072.

Location: 201 Pringle Dr, Goshen, IN, 46526-1419
institution
Provider Profile Details
NPI Number
1801300082
Provider Name
Thomas P Judd Dds Llc
Credential
Provider Entity Type
Organization
Address
201 Pringle Dr, Goshen, IN, 46526-1419
Phone Number
574-533-7621
Fax Number
574-533-1072
Provider Enumeration Date
11/26/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952565772 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
201 Pringle Dr
City
State
Zip
46526-1419
Phone Number
574-533-7621
Fax Number
574-533-1072
person
Provider Business Mailing Address Details
Address
201 Pringle Dr
City
State
Zip
46526-1419
Phone Number
574-533-7621
Fax Number
574-533-1072
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
12011153A (Indiana)
Definition
Definition to come...
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