Provider Demographics
NPI:1104211242
Name:ROBERT D. FINDLEY, D. D. S.
Entity Type:Organization
Organization Name:ROBERT D. FINDLEY, D. D. S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:812-427-2400
Mailing Address - Street 1:1190 W MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VEVAY
Mailing Address - State:IN
Mailing Address - Zip Code:47043-3639
Mailing Address - Country:US
Mailing Address - Phone:812-427-2400
Mailing Address - Fax:812-427-2289
Practice Address - Street 1:1190 W MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:VEVAY
Practice Address - State:IN
Practice Address - Zip Code:47043-3639
Practice Address - Country:US
Practice Address - Phone:812-427-2400
Practice Address - Fax:812-427-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1200-79871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100226180AMedicaid