# PAWLUS DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013134212
- **Authorized official:** MR. JOHN G PAWLUS DDS (PRESIDENT)
- **Authorized official phone:** (812) 372-8590

## Contact information

- **Practice address:** 4001 W GOELLER BLVD STE C, COLUMBUS, IN 47201-8309
- **Practice address phone:** (812) 372-8590
- **Practice address fax:** (812) 372-8934
- **Mailing address:** 4001 W GOELLER BLVD STE C, COLUMBUS, IN 47201-8309
- **Mailing address phone:** (812) 372-8590
- **Mailing address fax:** (812) 372-8934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009682A | IN | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 02/07/2013