# JON E ERICKSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DANVILLE FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841335726
- **Authorized official:** DR. JON E ERICKSON DDS (PRESIDENT)
- **Authorized official phone:** (317) 745-4400

## Contact information

- **Practice address:** 23 S CO RD 200 EAST, STE B, DANVILLE, IN 46122-0486
- **Practice address phone:** (317) 745-4400
- **Mailing address:** PO BOX 486, 23 S CO RD 200 EAST, STE B, DANVILLE, IN 46122-0486
- **Mailing address phone:** (317) 745-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010220 | IN | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 08/22/2020
