Dental Professionals of In, P.c.

NPI #1538774419 in Muncie, Indiana

Provider Information

NPI Number: 1538774419
Entity Type: Organization
Organization Name: Dental Professionals of In, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF IN, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 9, 2020
Last Updated: Sep 9, 2020

Practice Location

Address: 3701 N EVERETT RD
City: Muncie
State: Indiana
ZIP Code: 47304-5610
Phone: (765) 288-2040

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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