# TURTLE TOWN DENTAL LLC

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

## Provider details

- **NPI number:** 1891218137
- **Authorized official:** DR. ROBERT JOHN UEBER DDS (PRESIDENT)
- **Authorized official phone:** (260) 434-0777

## Contact information

- **Practice address:** 210 W WHITLEY ST, CHURUBUSCO, IN 46723-1720
- **Practice address phone:** (260) 693-3921
- **Practice address fax:** (260) 693-1376
- **Mailing address:** 210 W WHITLEY ST, CHURUBUSCO, IN 46723-1720
- **Mailing address phone:** (260) 693-3921
- **Mailing address fax:** (260) 693-1376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12007976 | IN | Yes |
| 261QD0000X | Dental Clinic/Center | 12010006 | IN | — |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447372362 | — | IN |
| 05 | — | 1992783294 | — | IN |