# MERCY SEAT DENTISTRY

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

## Provider details

- **NPI number:** 1861871170
- **Authorized official:** DR. NKECHI AWELE WAN DDS (PRESIDENT)
- **Authorized official phone:** (260) 823-3328

## Contact information

- **Practice address:** 2155 COMMERCE DRIVE, BLUFFTON, IN 46714
- **Practice address phone:** (260) 823-3328
- **Practice address fax:** (260) 353-1555
- **Mailing address:** 2155 COMMERCE DRIVE, BLUFFTON, IN 46714
- **Mailing address phone:** (260) 823-3328
- **Mailing address fax:** (260) 353-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 124Q00000X | Dental Hygienist | — | NULL | — |
| 124Q00000X | Dental Hygienist | — | — | — |
| 126800000X | Dental Assistant | — | NULL | — |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 05/20/2015