Organization
JON E ERICKSON, DDS, PC
Active
Other names
DANVILLE FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON E ERICKSON DDS (PRESIDENT)
(317) 745-4400
Entity
Organization
Contact information
Practice address
23 S CO RD 200 EAST, STE B, DANVILLE, IN 46122-0486
(317) 745-4400
Mailing address
PO BOX 486, 23 S CO RD 200 EAST, STE B, DANVILLE, IN 46122-0486
(317) 745-4400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010220
IN
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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