Huntinburg Family Dentistry
Organization Active NPI Dentist · Huntingburg, IN
NPI 1861833147 · NPPES record last updated Jul 15, 2013
Key facts
- NPI
- 1861833147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12009892A (IN)
- Legal business name
- HUNTINBURG FAMILY DENTISTRY
- Practice address
- 517 E 5TH St
Huntingburg, IN 47542-1004 - Phone
- (812) 683-4100
- Fax
- (812) 683-4110
- NPI assigned
- Jul 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Shannon Elisa Wood, D.D.S.
- Title
- Dentist
- Phone
- (812) 683-4100
Corporate family (same tax ID) 1
Practitioners 2
-
Harry Louis Switzer, DDS
-
Shannon Elisa Wood, D.D.S.
National Provider Directory
- Tax ID family
- Huntinburg Family Dentistry
Locations
517 E 5th St
Huntingburg, IN 47542
Phone (812) 683-2215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12009892A | IN | Yes |
Addresses
Primary practice location
517 E 5TH St
Huntingburg, IN 47542-1004
Mailing address
517 E 5TH St
Huntingburg, IN 47542-1004
Phone (812) 683-4100
Other providers in Huntingburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2013. 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.