| NPI | 1346298494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN BAYSINGER Practice Manager 812-234-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-06-06 |