# 10439 E US HIGHWAY 36 DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 24 Hour Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023546629
- **Authorized official:** ALLEE MERTES (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (614) 288-5384

## Contact information

- **Practice address:** 10439 E US HIGHWAY 36, AVON, IN 46123
- **Practice address phone:** (317) 300-0577
- **Mailing address:** 2857 HULL RD, KINSTON, NC 28504-8239
- **Mailing address phone:** (252) 512-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2017
- **Last updated:** 06/14/2018
