# TDS IN THREE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Indiana Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205467511
- **Authorized official:** ADRIENNE NICHOLSON (REGIONAL MANAGER)
- **Authorized official phone:** (812) 569-2955

## Contact information

- **Practice address:** 111 HERITAGE SQ, SELLERSBURG, IN 47172-1863
- **Practice address phone:** (812) 248-4880
- **Mailing address:** 840 LOUISE DR, SEYMOUR, IN 47274-1494
- **Mailing address phone:** (812) 569-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 01/27/2020