# CROSSCREEK DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Bridge Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457022428
- **Authorized official:** JENNA WINDELL DMD (DENTIST)
- **Authorized official phone:** (812) 738-8081

## Contact information

- **Practice address:** 1300 OLD HIGHWAY 135 NE, CORYDON, IN 47112-2022
- **Practice address phone:** (812) 738-8081
- **Practice address fax:** (812) 738-3213
- **Mailing address:** 1300 OLD HIGHWAY 135 NE, CORYDON, IN 47112-2022
- **Mailing address phone:** (812) 738-8081
- **Mailing address fax:** (812) 738-3213

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2021
- **Last updated:** 09/21/2021
