# GREENCASTLE 20/20 DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 20/20 DENTAL, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699173070
- **Legal business name:** 20/20 DENTAL, LLC
- **Authorized official:** DR. RONALD I PROKES DDS (OWNER)
- **Authorized official phone:** (317) 727-1534

## Contact information

- **Practice address:** 819 E FRANKLIN ST, GREENCASTLE, IN 46135-1691
- **Practice address phone:** (765) 653-5501
- **Mailing address:** 819 E FRANKLIN ST, GREENCASTLE, IN 46135-1691
- **Mailing address phone:** (765) 653-5501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011722A | IN | Yes |

## Other

- **Enumeration date:** 12/17/2014
- **Last updated:** 12/17/2014