Organization
TDS IN THREE LLC
Active
Other names
Southern Indiana Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE NICHOLSON (REGIONAL MANAGER)
(812) 569-2955
Entity
Organization
Contact information
Practice address
111 HERITAGE SQ, SELLERSBURG, IN 47172-1863
(812) 248-4880
Mailing address
840 LOUISE DR, SEYMOUR, IN 47274-1494
(812) 569-2955
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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