# AFFORDABLE DENTURES-EVANSVILLE V, P.C.

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

## Provider details

- **NPI number:** 1104226315
- **Authorized official:** DR. MICHAEL LEE SKIRVIN DDS (PRACTICE OWNER)
- **Authorized official phone:** (812) 475-2880

## Contact information

- **Practice address:** 619 N BURKHARDT RD, SUITE A, EVANSVILLE, IN 47715-7296
- **Practice address phone:** (812) 475-2880
- **Practice address fax:** (812) 475-3002
- **Mailing address:** 619 N BURKHARDT RD, SUITE A, EVANSVILLE, IN 47715-7296
- **Mailing address phone:** (812) 475-2880
- **Mailing address fax:** (812) 475-3002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011768A | IN | Yes |

## Other

- **Enumeration date:** 08/26/2014
- **Last updated:** 11/18/2015