# GOSPORT DENTAL, PC

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

## Provider details

- **NPI number:** 1538085295
- **Authorized official:** ALEXIS HECK-BRITTON DDS (DENTIST)
- **Authorized official phone:** (812) 821-6210

## Contact information

- **Practice address:** 10 E MAIN ST, GOSPORT, IN 47433-7035
- **Practice address phone:** (812) 879-4216
- **Practice address fax:** (812) 879-4286
- **Mailing address:** 10 E MAIN ST, P.O. BOX 189, GOSPORT, IN 47433-7035
- **Mailing address phone:** (812) 879-4216
- **Mailing address fax:** (812) 879-4286

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2026
- **Last updated:** 06/26/2026