# DENTAL PROFESSIONALS OF INDIANA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL PROFESSIONALS OF IN, P.C.
- **Other names:** Scottsburg Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629745963
- **Legal business name:** DENTAL PROFESSIONALS OF IN, P.C.
- **Authorized official:** TABATHA LEMKE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-6078

## Contact information

- **Practice address:** 214 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1824
- **Practice address phone:** (812) 413-0181
- **Mailing address:** 214 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1824
- **Mailing address phone:** (812) 413-0181

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 08/25/2021