| NPI | 1386232791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RANDALL GREGG Orthodontist 812-887-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-01-03 |
| Last Update Date | 2026-01-06 |