# RAINTREE DENTAL PC

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

## Provider details

- **NPI number:** 1043787146
- **Authorized official:** DR. CHARLES R MILLER DDS (OWNER)
- **Authorized official phone:** (260) 760-0611

## Contact information

- **Practice address:** 120 S MEMORIAL DR STE F, NEW CASTLE, IN 47362-4991
- **Practice address phone:** (765) 528-8778
- **Mailing address:** 10152 FALCON COVE CIR, INDIANAPOLIS, IN 46236-8495
- **Mailing address phone:** (260) 760-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2018
- **Last updated:** 10/26/2018