Darrell Deem DDS, Inc
Organization Active NPI Dentist · Washington, IN
NPI 1669866992 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1669866992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12008380 (IN)
- Legal business name
- DARRELL DEEM DDS, INC
- Practice address
- 100 W Van Trees St
Washington, IN 47501-1564 - Phone
- (812) 254-7550
- Fax
- (812) 254-5750
- NPI assigned
- Mar 25, 2015
- Organization subpart
- No
Authorized official
- Name
- L. Rene Bean
- Title
- Office Administration
- Phone
- (812) 254-5011
Practitioners 1
-
Cyrus Austin Deem, DDS
National Provider Directory
Locations
100 W Van Trees St
Washington, IN 47501
Phone (812) 254-5011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12008380 | IN | Yes |
Addresses
Primary practice location
100 W Van Trees St
Washington, IN 47501-1564
Mailing address
100 W Van Trees St
Washington, IN 47501-1564
Phone (812) 254-7550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100089370A | Medicaid | IN |
Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.