Organization
KIDS DENTISTREE OF IN, LLC
Active
Other names
Kids Dentistree - Avon
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF REIBEL (CFO)
(502) 254-8500
Entity
Organization
Contact information
Practice address
7900 E US HIGHWAY 36 STE K, AVON, IN 46123-7791
(317) 561-0090
(317) 516-0345
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
09/06/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up