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Organization
DENTAL SERVICES OF INDIANA, P.C.
Active
Organization
DENTAL SERVICES OF INDIANA, P.C.
Active
Other names
ImmediaDent
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNN R ADKINS (SR. ACCOUNTING MANAGER)
(913) 428-1684
Entity
Organization
Contact information
Practice address
713 US HIGHWAY 41 STE A, SCHERERVILLE, IN 46375-1798
(913) 428-1684
Mailing address
PO BOX 11568, OVERLAND PARK, KS 66207-4268
(913) 428-1686
(866) 591-0604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/08/2017
Last updated
07/29/2019
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