Organization
JOSEPH A GRIDER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALLEN GRIDER DDS (PRESIDENT)
(765) 529-9180
Entity
Organization
Contact information
Practice address
202 N MAIN ST, NEW CASTLE, IN 47362-4211
(765) 529-9180
(765) 529-7442
Mailing address
202 N MAIN ST, NEW CASTLE, IN 47362-4211
(765) 529-9180
(765) 529-7442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6498
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134580A
—
IN
Enumeration date
11/14/2006
Last updated
03/06/2017
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