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Organization
DECATUR DENTAL SERVICES, INC
Active
Organization
DECATUR DENTAL SERVICES, INC
Active
Parent organization
DECATUR DENTAL SERVICES, INC.
Other names
Warren Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DECATUR DENTAL SERVICES, INC.
Authorized official
ABIGAIL COLCLASURE (DENTIST)
(260) 468-7020
Entity
Organization
Contact information
Practice address
470 BENNETT DR STE C, WARREN, IN 46792-9273
(260) 468-7020
Mailing address
470 BENNETT DR STE C, WARREN, IN 46792-9273
(260) 468-7020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201368560
—
IN
05
—
201376990
—
IN
Enumeration date
03/31/2025
Last updated
03/31/2025
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