# HUNTINBURG FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1861833147
- **Authorized official:** DR. SHANNON ELISA WOOD D.D.S. (DENTIST)
- **Authorized official phone:** (812) 683-4100

## Contact information

- **Practice address:** 517 E 5TH ST, HUNTINGBURG, IN 47542-1004
- **Practice address phone:** (812) 683-4100
- **Practice address fax:** (812) 683-4110
- **Mailing address:** 517 E 5TH ST, HUNTINGBURG, IN 47542-1004
- **Mailing address phone:** (812) 683-4100
- **Mailing address fax:** (812) 683-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009892A | IN | Yes |

## Other

- **Enumeration date:** 07/15/2013
- **Last updated:** 07/15/2013