Organization
DENTSMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN CABBELL DDS (CEO)
(317) 888-9240
Entity
Organization
Contact information
Practice address
622 N MADISON AVE, SUITE #10, GREENWOOD, IN 46142-4082
(317) 888-9240
Mailing address
622 N MADISON AVE, SUITE #10, GREENWOOD, IN 46142-4082
(317) 888-9240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010607A
IN
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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