Organization · Type 2 NPI

KDG Indiana One LLC

Dental Clinic/Center · Seymour, IN

NPI number 1104337351 Active

Practice location

321 W Bruce St Ste A
Seymour, IN 47274-2319

Call (812) 523-1860 Map

Mailing address

PO Box 305
Seymour, IN 47274-0305

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Seymour

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NPI record

NPI: 1104337351
Entity type: Organization (Type 2)
Issued: Oct 16, 2017
Last updated: Oct 16, 2017
Status: Active
Subpart: Yes of Kentuckiana Dental Group

Other names

<unavail>
Garcia Family Dental · doing business as

Authorized official

Adrienne Nicholson
Financial Coordinator
(812) 523-1860

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104337351

KDG Indiana One LLC's National Provider Identifier is 1104337351, issued on Oct 16, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Seymour, IN. The record was last updated on Oct 16, 2017.