# ANGOLA DENTAL SERVICES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angola Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790471183
- **Authorized official:** DR. GUY J MOORE DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (260) 665-5767

## Contact information

- **Practice address:** 205 E HARCOURT RD, ANGOLA, IN 46703-7131
- **Practice address phone:** (260) 665-5767
- **Practice address fax:** (260) 665-8606
- **Mailing address:** 205 E HARCOURT RD, ANGOLA, IN 46703-7131
- **Mailing address phone:** (260) 665-5767
- **Mailing address fax:** (260) 665-8606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/18/2023