# EAST WARSAW DENTAL GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** East Center Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366636870
- **Authorized official:** DR. JOHN W JONES DDS (DDS)
- **Authorized official phone:** (574) 269-1787

## Contact information

- **Practice address:** 2104 E CENTER ST, WARSAW, IN 46580-3704
- **Practice address phone:** (574) 269-1787
- **Practice address fax:** (574) 267-1610
- **Mailing address:** 2104 E CENTER ST, WARSAW, IN 46580-3704
- **Mailing address phone:** (574) 269-1787
- **Mailing address fax:** (574) 267-1610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 54000313A | IN | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007