# BADELL DENTAL CLINIC LLC

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

## Provider details

- **NPI number:** 1295464782
- **Authorized official:** NIKKI COOK (OFFICE MANAGER)
- **Authorized official phone:** (574) 772-3666

## Contact information

- **Practice address:** 1800 S US HIGHWAY 35, KNOX, IN 46534-8681
- **Practice address phone:** (574) 248-0456
- **Practice address fax:** (574) 772-5643
- **Mailing address:** 1800 S US HIGHWAY 35, KNOX, IN 46534-8681
- **Mailing address phone:** (574) 248-0456
- **Mailing address fax:** (574) 772-5643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2022
- **Last updated:** 06/09/2022