# RICHEY FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crossroads Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194127811
- **Authorized official:** NICOLE RICHEY (OWNER/OFFICE MANAGER)
- **Authorized official phone:** (812) 232-7424

## Contact information

- **Practice address:** 2499 E MARGARET DR, TERRE HAUTE, IN 47802-3342
- **Practice address phone:** (812) 232-7424
- **Mailing address:** 2499 E MARGARET DR, TERRE HAUTE, IN 47802-3342
- **Mailing address phone:** (812) 232-7424
- **Mailing address fax:** (812) 234-4324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12012114A | IN | Yes |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 08/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300065373 | — | IN |