# DECATUR DENTAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DECATUR DENTAL SERVICES, INC.
- **Other names:** Warren Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477356806
- **Legal business name:** DECATUR DENTAL SERVICES, INC.
- **Authorized official:** ABIGAIL COLCLASURE (DENTIST)
- **Authorized official phone:** (260) 468-7020

## Contact information

- **Practice address:** 470 BENNETT DR STE C, WARREN, IN 46792-9273
- **Practice address phone:** (260) 468-7020
- **Mailing address:** 470 BENNETT DR STE C, WARREN, IN 46792-9273
- **Mailing address phone:** (260) 468-7020

## Taxonomy

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

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 03/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201368560 | — | IN |
| 05 | — | 201376990 | — | IN |