Kentuckiana Dental Group

NPI #1609223759 in Seymour, Indiana

Provider Information

NPI Number
1609223759
Entity Type
Organization
Organization Name
Kentuckiana Dental Group
Primary Specialty
Dentist - General Practice
Enumeration Date
May 18, 2016
Last Updated
Nov 23, 2016

Practice Location

Address
321 W BRUCE ST STE 300
State
Indiana
ZIP Code
47274-2319
Phone
(812) 523-1860

Authorized Official

Name
DAVID SHELLENBERGER
Title
OFFICE MANAGER
Phone
(502) 938-9056

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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