# INDIJU 4 DENTAL 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427667336
- **Authorized official:** DR. BARRY ALLYN MOSS DMD (PRESIDENT)
- **Authorized official phone:** (717) 991-8750

## Contact information

- **Practice address:** 4240 OREGEON PK., EPHRATA, PA 17522
- **Practice address phone:** (717) 991-8750
- **Practice address fax:** (717) 865-6047
- **Mailing address:** 245 DUNHAM DR, HUMMELSTOWN, PA 17036-8040
- **Mailing address phone:** (717) 991-8750
- **Mailing address fax:** (717) 865-6047

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2020
- **Last updated:** 07/27/2020