# DCP OF INDIANA (CASTLETON SQUARE), P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTALONE PARTNERS, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962940254
- **Legal business name:** DENTALONE PARTNERS, INC
- **Authorized official:** RACHEL NITTINGER (CREDENTIALING MANAGER)
- **Authorized official phone:** (972) 755-0876

## Contact information

- **Practice address:** 17535 TERRY LEE CROSSING, 200-B, NOBLESVILLE, IN 46060-2476
- **Practice address phone:** (317) 773-3740
- **Practice address fax:** (216) 584-1096
- **Mailing address:** 7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 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