Organization
JLD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA B. HALL (OFFICE MANAGER)
(812) 738-8081
Entity
Organization
Contact information
Practice address
1300 OLD HIGHWAY 135 NE, CORYDON, IN 47112
(812) 738-8081
(812) 738-3213
Mailing address
1300 OLD HIGHWAY 135 NE, CORYDON, IN 47112
(812) 738-8081
(812) 738-3213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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