Danville Dental Clinic, PC

NPI #1811022924 in Danville, Indiana

Provider Information

NPI Number: 1811022924
Entity Type: Organization
Organization Name: Danville Dental Clinic, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 22, 2007
Last Updated: Sep 2, 2009

Practice Location

Address: 2166 E MAIN ST
City: Danville
State: Indiana
ZIP Code: 46122-9082
Phone: (317) 745-7711

Authorized Official

Name: MICHAEL CLARK BEATY
Title: PRESIDENT
Phone: (317) 745-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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