Teverbaugh4 LLC

NPI #1932441847 in Fishers, Indiana

Provider Information

NPI Number: 1932441847
Entity Type: Organization
Organization Name: Teverbaugh4 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 19, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 10967 ALLISONVILLE RD
Address 2: SUITE 200
City: Fishers
State: Indiana
ZIP Code: 46038-2632
Phone: (317) 572-8626

Authorized Official

Name: DR. DIANA TEVERBAUGH
Title: DENTIST
Phone: (317) 572-8626

Specialties & Taxonomy Codes

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

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