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NPI Code Detail

MEDICARE: DR. DALE WRIGHT OLIVER DDS

MEDICARE:  DR. DALE WRIGHT OLIVER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12006322IN

General Provider Information

NPI Number : 1518081512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALE WRIGHT OLIVER DDS
Provider Business Mailing Address
First Line : 125 E WASHINGTON ST
Second Line :
City : GREENCASTLE
State : IN
Zip : 46135-1511
Country : US
Telephone Number : 765-653-6349
Fax Number : 765-653-4065
Provider Business Practice Location Address
First Line : 125 E WASHINGTON ST
Second Line :
City : GREENCASTLE
State : IN
Zip : 46135-1511
Country : US
Telephone Number : 765-653-6349
Fax Number : 765-653-4065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DALE WRIGHT OLIVER DDS” Practice Location

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