# TDS IN SIX LLC

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

## Provider details

- **NPI number:** 1629603915
- **Authorized official:** ADRIENNE NICHOLSON CDA (REGIONAL MANAGER)
- **Authorized official phone:** (812) 569-2955

## Contact information

- **Practice address:** 3684 US- 150 \#9, FLOYDS KNOBS, IN 47119
- **Practice address phone:** (812) 569-2955
- **Mailing address:** 3684 US-150 \#9, FLOYDS KNOBS, IN 47119

## Taxonomy

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

## Other

- **Enumeration date:** 03/06/2020
- **Last updated:** 03/06/2020