Indiana Dental Clinic PC

NPI #1790888170 in Atlanta, Indiana

Provider Information

NPI Number
1790888170
Entity Type
Organization
Organization Name
Indiana Dental Clinic PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 7, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
29101 ST RD 19
State
Indiana
ZIP Code
46031
Phone
(765) 292-2366

Authorized Official

Name
MR. FENNIS BLEDSOE
Title
CHIEF EXECUTIVE OFFICER
Phone
(765) 292-2366

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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