Dental Professionals of Indiana, P.c.
NPI #1629745963 in Scottsburg, Indiana
Provider Information
- NPI Number
- 1629745963
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Indiana, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF IN, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 25, 2021
- Last Updated
- Aug 25, 2021
Practice Location
- Address
- 214 E MCCLAIN AVE
- City
- Scottsburg
- State
- Indiana
- ZIP Code
- 47170-1824
- Phone
- (812) 413-0181
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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