# NEWBERRY DENTAL

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

## Provider details

- **NPI number:** 1194235291
- **Authorized official:** DR. EMILY JANE HORCHA DMD (OWNER)
- **Authorized official phone:** (317) 203-3424

## Contact information

- **Practice address:** 135 N SHORTRIDGE RD STE A1, INDIANAPOLIS, IN 46219-8905
- **Practice address phone:** (317) 203-3424
- **Mailing address:** 135 N SHORTRIDGE RD STE A1, INDIANAPOLIS, IN 46219-8905
- **Mailing address phone:** (317) 203-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12012423A | IN | Yes |

## Other

- **Enumeration date:** 10/03/2017
- **Last updated:** 10/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201328700 | — | IN |