# BOLT HESS DDS, LLC

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

## Provider details

- **NPI number:** 1487002135
- **Authorized official:** MR. JEFF V HUTTER (MANAGER)
- **Authorized official phone:** (502) 797-9111

## Contact information

- **Practice address:** 307 N GREEN ST, BROWNSBURG, IN, IN 46012-1022
- **Practice address phone:** (317) 852-7112
- **Mailing address:** 307 N GREEN ST, BROWNSBURG, IN, IN 46012-1022
- **Mailing address phone:** (317) 852-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12012466A | IN | Yes |

## Other

- **Enumeration date:** 06/02/2016
- **Last updated:** 06/21/2016