# J TERRY FREY DDS PC

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

## Provider details

- **NPI number:** 1033212071
- **Authorized official:** JAMES TERRY FREY DDS (OWNER PRESIDENT)
- **Authorized official phone:** (812) 346-6884

## Contact information

- **Practice address:** 623 N STATE ST, NORTH VERNON, IN 47265
- **Practice address phone:** (812) 346-6884
- **Practice address fax:** (812) 346-1717
- **Mailing address:** PO BOX 1008, NORTH VERNON, IN 47265-5008
- **Mailing address phone:** (812) 346-6884
- **Mailing address fax:** (812) 346-1717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12006939 | IN | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 06/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200271690A | — | IN |