# RUSHVILLE FAMILY DENTAL, P.C.

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

## Provider details

- **NPI number:** 1740452242
- **Authorized official:** DR. RANDY CARL YOUNG D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 932-4861

## Contact information

- **Practice address:** 610 E 11TH ST, RUSHVILLE, IN 46173-1319
- **Practice address phone:** (765) 932-4861
- **Practice address fax:** (765) 932-5174
- **Mailing address:** 610 E 11TH ST, RUSHVILLE, IN 46173-1319
- **Mailing address phone:** (765) 932-4861
- **Mailing address fax:** (765) 932-5174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009504 | IN | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 03/25/2008