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Organization

THE VILLAGE DENTIST, P.C.

Active
Other names
The Village Dentist
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY H VIBBERT D.D.S. (PRESIDENT)
(812) 424-3368
Entity
Organization

Contact information

Practice address
903 NORTH PARK DRIVE, EVANSVILLE, IN 47710-3629
(812) 424-3368
(801) 881-7780
Mailing address
PO BOX 9054, EVANSVILLE, IN 47724-7054
(812) 424-3368
(801) 881-7780

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009155
IN
122300000X
Dentist
12010628
IN

Other

Enumeration date
05/10/2006
Last updated
08/22/2020
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