# KRAUSE DENTAL

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

## Provider details

- **NPI number:** 1043657166
- **Authorized official:** DR. KENNETH KRAUSE D.M.D. (MEMBER)
- **Authorized official phone:** (815) 603-5834

## Contact information

- **Practice address:** 3247 EAST SR32, WESTFIELD, IN 46074
- **Practice address phone:** (815) 603-5834
- **Mailing address:** 234 HERITAGE LN, CARMEL, IN 46032-1663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011678A | IN | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 05/30/2013