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Organization
DCP OF INDIANA (CASTLETON SQUARE), P.C.
Active
Organization
DCP OF INDIANA (CASTLETON SQUARE), P.C.
Active
Parent organization
DENTALONE PARTNERS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
RACHEL NITTINGER (CREDENTIALING MANAGER)
(972) 755-0876
Entity
Organization
Contact information
Practice address
17535 TERRY LEE CROSSING, 200-B, NOBLESVILLE, IN 46060-2476
(317) 773-3740
(216) 584-1096
Mailing address
7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/07/2017
Last updated
03/20/2018
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