# DENTAL PROFESSIONALS OF INDIANA, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF INDIANA, PC
- **Other names:** Dental Care at Plainfield Crossing
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255702478
- **Legal business name:** DENTAL PROFESSIONALS OF INDIANA, PC
- **Authorized official:** KENDRA WALKER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8312

## Contact information

- **Practice address:** 2455 E. MAIN ST., SUITE 104, PLAINFIELD, IN 46168
- **Practice address phone:** (317) 991-1088
- **Mailing address:** 2455 E. MAIN ST., SUITE 104, PLAINFIELD, IN 46168

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 10/14/2015