# GRABER FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1477786283
- **Authorized official:** DR. DEREK O GRABER DDS (DENTIST)
- **Authorized official phone:** 18123866150

## Contact information

- **Practice address:** 901 S MAIN ST, PRINCETON, IN 47670-2653
- **Practice address phone:** (812) 386-6150
- **Mailing address:** PO BOX 604, PRINCETON, IN 47670-0604
- **Mailing address phone:** (812) 386-6150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12011289A | IN | Yes |

## Other

- **Enumeration date:** 08/26/2009
- **Last updated:** 08/26/2009