Organization
RICHEY FAMILY DENTISTRY
Active
Other names
Crossroads Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RICHEY (OWNER/OFFICE MANAGER)
(812) 232-7424
Entity
Organization
Contact information
Practice address
2499 E MARGARET DR, TERRE HAUTE, IN 47802-3342
(812) 232-7424
Mailing address
2499 E MARGARET DR, TERRE HAUTE, IN 47802-3342
(812) 232-7424
(812) 234-4324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012114A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300065373
—
IN
Enumeration date
09/25/2014
Last updated
08/11/2022
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