# PARKVIEW DENTAL

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

## Provider details

- **NPI number:** 1992248058
- **Authorized official:** CRYSTAL ROSS (OFFICE MANAGER)
- **Authorized official phone:** (317) 535-7522

## Contact information

- **Practice address:** 549 PARKVIEW DR., NEW WHITELAND, IN 46184
- **Practice address phone:** (317) 535-7522
- **Practice address fax:** (317) 535-5115
- **Mailing address:** 549 PARKVIEW DR, NEW WHITELAND, IN 46184-1365
- **Mailing address phone:** (317) 535-7522
- **Mailing address fax:** (317) 535-5115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011888A | IN | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016