# KENTUCKIANA BIODENT

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

## Provider details

- **NPI number:** 1932913365
- **Authorized official:** DR. ROBERT E. HARRIS JR. DMD (DOCTOR)
- **Authorized official phone:** (812) 285-1781

## Contact information

- **Practice address:** 405 E COURT AVE STE 110, JEFFERSONVILLE, IN 47130-3474
- **Practice address phone:** (812) 285-1781
- **Practice address fax:** (812) 291-5609
- **Mailing address:** 405 E COURT AVE STE 110, JEFFERSONVILLE, IN 47130-3474
- **Mailing address phone:** (812) 285-1781
- **Mailing address fax:** (812) 291-5609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025