NPI 1053360479

The Village Dentist, P.C.

Organisation Dentist Evansville, IN

Practice location

Address: 903 North Park Drive, Evansville, IN 47710-3629
Phone: (812) 424-3368
Fax: (801) 881-7780
Mailing address: PO Box 9054, Evansville, IN 47724-7054

Authorised official

Name: Terry H Vibbert
Title: President
Phone: (812) 424-3368

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 12009155 (IN)

Other Dentist providers in Indiana →

Dentist

Dental Providers Taxonomy 122300000X Licence 12010628 (IN)

Registry record

NPI: 1053360479
Entity type: Organization
NPI issued: 10 May 2006
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.