Greencastle 20/20 Dental, LLC
NPI #1699173070 in Greencastle, Indiana
Provider Information
- NPI Number
- 1699173070
- Entity Type
- Organization
- Organization Name
- Greencastle 20/20 Dental, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 20/20 DENTAL, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 17, 2014
- Last Updated
- Dec 17, 2014
Practice Location
- Address
- 819 E FRANKLIN ST
- City
- Greencastle
- State
- Indiana
- ZIP Code
- 46135-1691
- Phone
- (765) 653-5501
Authorized Official
- Name
- DR. RONALD I PROKES, DDS
- Title
- OWNER
- Phone
- (317) 727-1534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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