NPI 1043203235

Evansville Dental Associates

Organisation General Practice Dentistry Evansville, IN

Practice location

Address: 800 1st Ave, Evansville, IN 47710-1938
Phone: (812) 425-4206
Fax: (812) 423-4466

Authorised official

Name: Martha Fisher
Title: Office Administrator
Phone: (812) 425-4206

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 54000097A (IN)

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Registry record

NPI: 1043203235
Entity type: Organization
NPI issued: 24 Aug 2005
Record last updated: 22 Aug 2020

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.