# DUANE A NODINE DDS INC

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

## Provider details

- **NPI number:** 1710381496
- **Authorized official:** DR. DUANE ALAN NODINE DDS (OWNER/DENTIST)
- **Authorized official phone:** (260) 824-2442

## Contact information

- **Practice address:** 706 N MAIN ST, BLUFFTON, IN 46714-1312
- **Practice address phone:** (260) 824-2442
- **Practice address fax:** (260) 824-8101
- **Mailing address:** PO BOX 432, BLUFFTON, IN 46714-0432
- **Mailing address phone:** (260) 824-2442
- **Mailing address fax:** (260) 824-8101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12007048A | IN | Yes |
| 122300000X | Dentist | 12011131A | IN | — |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100257490A | — | IN |
| 05 | — | 200913480 | — | IN |