# RIVER FALLS FAMILY DENTAL

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

## Provider details

- **NPI number:** 1033620117
- **Authorized official:** DR. HOHETE YOHANNES HENDRIX DMD;MSD (PRESIDENT/MEMBER)
- **Authorized official phone:** (812) 945-5533

## Contact information

- **Practice address:** 2676 CHARLESTOWN RD STE 1, NEW ALBANY, IN 47150-2574
- **Practice address phone:** (317) 224-8579
- **Mailing address:** 2676 CHARLESTOWN RD STE 1, NEW ALBANY, IN 47150-2574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011079A | IN | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 11/26/2017