# INCREDIBLE CHANGES DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1578742292
- **Authorized official:** STEVEN SALKELD I (OWNER)
- **Authorized official phone:** (315) 454-6000

## Contact information

- **Practice address:** 4758 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
- **Practice address phone:** (765) 642-9500
- **Mailing address:** 281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009491A | IN | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007