# DENTAL PROFESSIONALS OF INDIANA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF INDIANA, P.C.
- **Other names:** Southern Indiana Smiles
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235401753
- **Legal business name:** DENTAL PROFESSIONALS OF INDIANA, P.C.
- **Authorized official:** JENNIFER HOELSCHER (INSURANCE/CREDENTIALING)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 457 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
- **Practice address phone:** (812) 336-2459
- **Practice address fax:** (812) 336-2480
- **Mailing address:** 457 S LANDMARK AVE, BLOOMINGTON, IN 47403-5004
- **Mailing address phone:** (812) 336-2459
- **Mailing address fax:** (812) 336-2480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2012
- **Last updated:** 02/05/2014