Organization
WABASH VALLEY CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANN BAYSINGER (PRACTICE MANAGER)
(812) 234-5437
Entity
Organization
Contact information
Practice address
440 E. HOSPITAL LANE, TERRE HAUTE, IN 47802
(812) 234-5437
(812) 232-0039
Mailing address
440 E. HOSPITAL LANE, TERRE HAUTE, IN 47802
(812) 234-5437
(812) 232-0039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200474320
—
IN
Enumeration date
05/04/2006
Last updated
06/06/2024
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