Kids Dentistree of In, LLC
NPI #1760048748 in Scottsburg, Indiana
Provider Information
- NPI Number
- 1760048748
- Entity Type
- Organization
- Organization Name
- Kids Dentistree of In, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 15, 2019
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 1602 W MCCLAIN AVE
- City
- Scottsburg
- State
- Indiana
- ZIP Code
- 47170-1161
- Phone
- (502) 254-8500
Authorized Official
- Name
- JEFF REIBEL
- Title
- CFO
- Phone
- (502) 254-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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