Organization
DENTAL PROFESSIONALS OF INDIANA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF IN, P.C.
Other names
Scottsburg Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF IN, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
214 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1824
(812) 413-0181
Mailing address
214 E MCCLAIN AVE, SCOTTSBURG, IN 47170-1824
(812) 413-0181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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