# JON HENDRICKSON DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Beauty wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558946590
- **Authorized official:** DR. JON HENDRICKSON (OWNER)
- **Authorized official phone:** (317) 878-4990

## Contact information

- **Practice address:** 245 N STATE ROAD 135, TRAFALGAR, IN 46181-8663
- **Practice address phone:** (317) 878-4990
- **Practice address fax:** (317) 878-9030
- **Mailing address:** 245 N STATE ROAD 135, TRAFALGAR, IN 46181-8663
- **Mailing address phone:** (317) 878-4990
- **Mailing address fax:** (317) 878-9030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021