# DENTURES ONLY P.C.

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

## Provider details

- **NPI number:** 1558595777
- **Authorized official:** DR. JOHN R. LADD DDS (PRESIDENT)
- **Authorized official phone:** (765) 455-0085

## Contact information

- **Practice address:** 1445 W HOOSIER BLVD, STE 103, PERU, IN 46970-3727
- **Practice address phone:** (765) 689-7096
- **Mailing address:** 1445 W HOOSIER BLVD, STE 103, PERU, IN 46970-3727
- **Mailing address phone:** (765) 689-7096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7549 | IN | Yes |

## Other

- **Enumeration date:** 05/04/2009
- **Last updated:** 05/04/2009