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Organization
KNIGHTSTOWN FAMILY DENTISTRY
Active
Organization
KNIGHTSTOWN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY MEYER PLOEGER DDS (OWNER)
(765) 561-2035
Entity
Organization
Contact information
Practice address
8788 S STATE ROAD 109, KNIGHTSTOWN, IN 46148-9592
(765) 345-2188
Mailing address
2891 E 450 S, RUSHVILLE, IN 46173-9727
(765) 561-2035
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12009979
STATE LICENSE
IN
01
—
1578637872
NPI
IN
Enumeration date
11/29/2019
Last updated
01/10/2020
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