# DENNIS W KNIERIM DDS PC

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

## Provider details

- **NPI number:** 1861508889
- **Authorized official:** DR. DENNIS W KNIERIM DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (317) 831-4240

## Contact information

- **Practice address:** 150 N INDIANA ST, MOORESVILLE, IN 46158-1506
- **Practice address phone:** (317) 831-4240
- **Practice address fax:** (317) 831-4473
- **Mailing address:** 150 N INDIANA ST, MOORESVILLE, IN 46158-1506
- **Mailing address phone:** (317) 831-4240
- **Mailing address fax:** (317) 831-4473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7030 | IN | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020