# DENTSMART

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

## Provider details

- **NPI number:** 1205004397
- **Authorized official:** DR. SHAWN CABBELL DDS (CEO)
- **Authorized official phone:** (317) 888-9240

## Contact information

- **Practice address:** 622 N MADISON AVE, SUITE \#10, GREENWOOD, IN 46142-4082
- **Practice address phone:** (317) 888-9240
- **Mailing address:** 622 N MADISON AVE, SUITE \#10, GREENWOOD, IN 46142-4082
- **Mailing address phone:** (317) 888-9240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010607A | IN | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 02/12/2008