# JP DENTAL - RICHMOND LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EVOLUTION DENTAL
- **Other names:** Spring Grove Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992154587
- **Legal business name:** EVOLUTION DENTAL
- **Authorized official:** DR. JOHN PASICZNYK DDS (PRESIDENT)
- **Authorized official phone:** (317) 818-7777

## Contact information

- **Practice address:** 894 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
- **Practice address phone:** (765) 962-3713
- **Mailing address:** 894 SIM HODGIN PKWY, RICHMOND, IN 47374-1931
- **Mailing address phone:** (765) 962-3713

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016