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Organization

ASPEN DENTAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HEATH W. JONES DDS (OWNER / DENTIST)
(765) 447-2725
Entity
Organization

Contact information

Practice address
3725 ROME DR STE A, LAFAYETTE, IN 47905-4490
(765) 447-2725
(765) 449-2373
Mailing address
3725 ROME DR STE A, LAFAYETTE, IN 47905-4490
(765) 447-2725
(765) 449-2373

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009872A
IN
1223G0001X
General Practice Dentistry

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200428580
IN
Enumeration date
10/04/2006
Last updated
02/22/2013
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