NPI 1588810980

Northside Endodontics, PC

Organisation Endodontics Yorktown, IN

Practice location

Address: 1400 S Pilgrim Blvd, Yorktown, IN 47396-9250
Phone: (765) 759-9630
Fax: (765) 759-9640

Authorised official

Name: John H Slavens
Title: Owner
Phone: (795) 759-9630

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence 54000837A (IN)

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Registry record

NPI: 1588810980
Entity type: Organization
NPI issued: 18 Aug 2008
Record last updated: 18 Aug 2008

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.