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Organization

DCP OF INDIANA (CASTLETON SQUARE), P.C.

Active
Parent organization
DENTALONE PARTNERS, INC
Other names
DentalWorks of Clearwater
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
MR. RACHEL NITTINGER (CREDENTIALING MANAGER)
(972) 755-0816
Entity
Organization

Contact information

Practice address
4025 E 82ND ST STE 104, INDIANAPOLIS, IN 46250-4749
(317) 913-0480
(216) 584-1052
Mailing address
7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
(972) 755-0816

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry
1223P0300X
Periodontics
1223P0700X
Prosthodontics
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
01/27/2006
Last updated
03/19/2018
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