Dental Professionals of Indiana, P.c.

NPI #1861027609 in Elkhart, Indiana

Provider Information

NPI Number: 1861027609
Entity Type: Organization
Organization Name: Dental Professionals of Indiana, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF INDIANA, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 11, 2020
Last Updated: Mar 11, 2020

Practice Location

Address: 415 WATERFALL DR STE A
City: Elkhart
State: Indiana
ZIP Code: 46516-3660
Phone: (574) 293-8744

Authorized Official

Name: TABATHA LEMKE
Title: CRED COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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