# ERIKS DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ERIKS DENTAL, PC
- **Other names:** Lebanon Dentures and Implants
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215340880
- **Legal business name:** ERIKS DENTAL, PC
- **Authorized official:** DR. DOUGLAS A ERIKS DDS (OWNER)
- **Authorized official phone:** (765) 659-4977

## Contact information

- **Practice address:** 1338 S LEBANON ST STE 100, LEBANON, IN 46052-2792
- **Practice address phone:** (765) 659-4977
- **Mailing address:** 1338 S LEBANON ST STE 100, LEBANON, IN 46052-2792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010984A | IN | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 06/13/2014