# COLUMBIA FAMILY DENTISTR

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

## Provider details

- **NPI number:** 1992034102
- **Authorized official:** DAVID M HUBERT DDS (OWNER)
- **Authorized official phone:** (812) 476-9281

## Contact information

- **Practice address:** 6231 E COLUMBIA ST, EVANSVILLE, IN 47715-4003
- **Practice address phone:** (812) 476-9281
- **Practice address fax:** (812) 491-3844
- **Mailing address:** 6231 E COLUMBIA ST, EVANSVILLE, IN 47715-4003
- **Mailing address phone:** (812) 476-9281
- **Mailing address fax:** (812) 491-3844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | IN8273 | IN | Yes |

## Other

- **Enumeration date:** 12/17/2009
- **Last updated:** 12/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1508084328 | — | IN |