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Organization
IMMEDIADENT OF INDIANA, PC
Active
Organization
IMMEDIADENT OF INDIANA, PC
Active
Other names
Immediadent
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FRANK DDS (PC PRESIDENT)
(812) 284-6328
Entity
Organization
Contact information
Practice address
360 NEW ALBANY PLZ, NEW ALBANY, IN 47150-4654
(812) 945-4040
(913) 800-6967
Mailing address
PO BOX 11568, OVERLAND PARK, KS 66207-4268
(913) 800-6952
(913) 800-6967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010746A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200377170
—
IN
Enumeration date
09/09/2015
Last updated
09/09/2015
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