Organization
EVANSVILLE DENTAL ASSOCIATES
Active
Other names
TriState Family Dnetal Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA FISHER (OFFICE ADMINISTRATOR)
(812) 425-4206
Entity
Organization
Contact information
Practice address
800 1ST AVE, EVANSVILLE, IN 47710-1938
(812) 425-4206
(812) 423-4466
Mailing address
800 1ST AVE, EVANSVILLE, IN 47710-1938
(812) 425-4206
(812) 423-4466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54000097A
IN
Other
Enumeration date
08/24/2005
Last updated
08/22/2020
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