Provider Demographics
NPI:1568287837
Name:CLAIRE SHEWMAKER, LLC DBA MIDDLETOWN FAMILY DENTISTRY
Entity type:Organization
Organization Name:CLAIRE SHEWMAKER, LLC DBA MIDDLETOWN FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-354-2213
Mailing Address - Street 1:5141 W COUNTY ROAD 950 N
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47356-9363
Mailing Address - Country:US
Mailing Address - Phone:765-744-2411
Mailing Address - Fax:
Practice Address - Street 1:468 N 5TH ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:IN
Practice Address - Zip Code:47356-1004
Practice Address - Country:US
Practice Address - Phone:765-354-2213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental