# HOOSIER DENTAL CARE LLC

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

## Provider details

- **NPI number:** 1275760688
- **Authorized official:** RODNEY NICHOLAS COST JR. DDS (OWNER)
- **Authorized official phone:** (812) 654-2951

## Contact information

- **Practice address:** 301 NORTH WARPATH DRIVE, MILAN, IN 47031
- **Practice address phone:** (812) 654-2951
- **Practice address fax:** (812) 654-3069
- **Mailing address:** 301 NORTH WARPATH DRIVE, PO BOX 306, MILAN, IN 47031-9530
- **Mailing address phone:** (812) 654-2951
- **Mailing address fax:** (812) 654-3069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/12/2009