# DENTAL HEALTH ASSOC OF IN PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenwood Gentle Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871872317
- **Authorized official:** MRS. JENNIFER S PURVIS (AR MANAGER)
- **Authorized official phone:** (317) 359-3888

## Contact information

- **Practice address:** 1642 OLIVE BRANCH PARKE LN, SUITE 700, GREENWOOD, IN 46143-6447
- **Practice address phone:** (317) 215-7601
- **Mailing address:** 1642 OLIVE BRANCH PARKE LN, SUITE 700, GREENWOOD, IN 46143-6447
- **Mailing address phone:** (317) 215-7601

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011
