The Village Dentist, P.c.

NPI 1053360479 - Dentist - 122300000X

NPI Details
NPI 1053360479
Enumeration Date 05/10/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TERRY H TERRY
Position PRESIDENT
Phone (812) 424-3368
Fax (801) 881-7780
Practice Location
903 NORTH PARK DRIVE
EVANSVILLE IN, 47710-3629, US
Phone (812) 424-3368
Fax (801) 881-7780
Business Location
PO BOX 9054
EVANSVILLE IN, 47724-7054, US
Phone (812) 424-3368
Fax (801) 881-7780
Toxanomy
Taxonomy Code 122300000X
License State Indiana
License Number 12010628
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According to our database, The Village Dentist, P.c. NPI is 1053360479, taxonomy code is 122300000X and license number is 12010628, license state is located at Indiana. The Village Dentist, P.c. physically located at 903 North Park Drive, Evansville IN, 47710-3629. NPI Number 1033115704 has the healthcare provider type.

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1053360479 NPI number is provided on an as is basis without warranty of any kind. 1053360479 is maintained by the National Plan & Provider Enumeration System. The contents of The Village Dentist, P.c. are for informational purposes only.