# JERRY L. RINEHART, D.D.S.

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

## Provider details

- **NPI number:** 1245379718
- **Authorized official:** DR. JERRY L. RINEHART (DENTIST)
- **Authorized official phone:** (812) 379-2024

## Contact information

- **Practice address:** 2600 SANDCREST BLVD, SUITE B, COLUMBUS, IN 47203-3053
- **Practice address phone:** (812) 379-2024
- **Mailing address:** 2600 SANDCREST BLVD, SUITE B, COLUMBUS, IN 47203-3053
- **Mailing address phone:** (812) 379-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12008136A | IN | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020
