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Organization

CARECORE DENTAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE TILTON (PROVIDER ENROLLMENT SUPERVISOR)
(315) 454-6000
Entity
Organization

Contact information

Practice address
4758 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(315) 454-6000
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/03/2026
Last updated
08/03/2026
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