# JEFFERSONVILLE COMMONS DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Spring Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972124717
- **Authorized official:** MICHELLE ELIZABETH FAETH (OFFICE MANAGER)
- **Authorized official phone:** (502) 718-1226

## Contact information

- **Practice address:** 1019 JEFFERSONVILLE COMMONS DRIVE, JEFFERSONVILLE, IN 47130
- **Practice address phone:** (812) 302-3200
- **Practice address fax:** (812) 302-3222
- **Mailing address:** 1410 SPRING ST, JEFFERSONVILLE, IN 47130-3731
- **Mailing address phone:** (502) 718-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 05/04/2020