# JOSEPH A GRIDER DDS PC

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

## Provider details

- **NPI number:** 1427120880
- **Authorized official:** JOSEPH ALLEN GRIDER DDS (PRESIDENT)
- **Authorized official phone:** (765) 529-9180

## Contact information

- **Practice address:** 202 N MAIN ST, NEW CASTLE, IN 47362-4211
- **Practice address phone:** (765) 529-9180
- **Practice address fax:** (765) 529-7442
- **Mailing address:** 202 N MAIN ST, NEW CASTLE, IN 47362-4211
- **Mailing address phone:** (765) 529-9180
- **Mailing address fax:** (765) 529-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6498 | IN | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 03/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100134580A | — | IN |