Individual
KADE DUANE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 GRANDVIEW DR, SALEM, IN 47167-1022
(812) 404-1000
Mailing address
200 GRANDVIEW DR, SALEM, IN 47167-1022
(812) 404-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12015095A
IN
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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