# KENNETH J. PILCHER, D.D.S., P.C.

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

## Provider details

- **NPI number:** 1235265380
- **Authorized official:** DR. KENNETH JON PILCHER D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 362-1189

## Contact information

- **Practice address:** 508 CORDA BLVD, CRAWFORDSVILLE, IN 47933-4935
- **Practice address phone:** (765) 362-1189
- **Practice address fax:** (765) 362-1190
- **Mailing address:** 508 CORDA BLVD, CRAWFORDSVILLE, IN 47933-4935
- **Mailing address phone:** (765) 362-1189
- **Mailing address fax:** (765) 362-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009141A | IN | Yes |

## Other

- **Enumeration date:** 02/25/2007
- **Last updated:** 09/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200309510 | — | IN |