Doctor Name: | DR. JEFFERY D FLATT |
NPI Number: | 1235219544 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 8385 |
Business Practice Address: | 1919 State St Ste 208 New Albany, IN - 47150 |
Business Phone Number: | 8129447874 |
Business Fax Number: | |
Mailing Address: | 1919 State St, Ste 208 NEW ALBANY |
State: | IN |
Postal Code: | 47150 |
Phone Number: | 8129447874 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8385 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |