# TROUTMAN FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1912001447
- **Authorized official:** DR. KENNETH R. TROUTMAN D.D.S. (DENTIST)
- **Authorized official phone:** (812) 683-2006

## Contact information

- **Practice address:** 202 E 17TH ST, HUNTINGBURG, IN 47542-9565
- **Practice address phone:** (812) 683-2006
- **Practice address fax:** (812) 683-5162
- **Mailing address:** 202 E 17TH ST, HUNTINGBURG, IN 47542-9565
- **Mailing address phone:** (812) 683-2006
- **Mailing address fax:** (812) 683-5162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010469A | IN | — |
| 1223G0001X | General Practice Dentistry | 7860 | IN | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020