# WABASH VALLEY CHILDREN'S DENTISTRY

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

## Provider details

- **NPI number:** 1346298494
- **Authorized official:** MRS. DEBORAH ANN BAYSINGER (PRACTICE MANAGER)
- **Authorized official phone:** (812) 234-5437

## Contact information

- **Practice address:** 440 E. HOSPITAL LANE, TERRE HAUTE, IN 47802
- **Practice address phone:** (812) 234-5437
- **Practice address fax:** (812) 232-0039
- **Mailing address:** 440 E. HOSPITAL LANE, TERRE HAUTE, IN 47802
- **Mailing address phone:** (812) 234-5437
- **Mailing address fax:** (812) 232-0039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200474320 | — | IN |