# PITTSBORO FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1366612616
- **Authorized official:** DR. STEVEN LEE RICHWINE D.D.S. (DENTIST)
- **Authorized official phone:** (317) 892-4994

## Contact information

- **Practice address:** 204 N MAPLE ST, PITTSBORO, IN 46167-9164
- **Practice address phone:** (317) 892-4994
- **Practice address fax:** (317) 892-4409
- **Mailing address:** PO BOX 314, PITTSBORO, IN 46167-0314
- **Mailing address phone:** (317) 892-4994
- **Mailing address fax:** (317) 892-4409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7056 | IN | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2008