NPI 1003153354

Warrick Park Dental

Organisation General Practice Dentistry Boonville, IN

Practice location

Address: 800 Office Park Dr, Boonville, IN 47601-8601
Phone: (812) 897-4889
Fax: (812) 897-8113

Authorised official

Name: Jed Marlin Inman
Title: Owner/Dentist
Phone: (812) 897-4889

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7613 (IN)

Other Dentist providers in Indiana →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 12011465A (IN)

Registry record

NPI: 1003153354
Entity type: Organization
NPI issued: 7 Jan 2013
Record last updated: 7 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.