Provider Demographics
NPI:1447383112
Name:DAVID A. DICKEY, D.D.S., P.C.
Entity Type:Organization
Organization Name:DAVID A. DICKEY, D.D.S., P.C.
Other - Org Name:FAMILY DENTAL CARE OF GREENSBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDNET
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-663-4400
Mailing Address - Street 1:920 W KATHYS WAY
Mailing Address - Street 2:SUITE E
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-3412
Mailing Address - Country:US
Mailing Address - Phone:812-663-4400
Mailing Address - Fax:812-663-4407
Practice Address - Street 1:920 W KATHYS WAY
Practice Address - Street 2:SUITE E
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-3412
Practice Address - Country:US
Practice Address - Phone:812-663-4400
Practice Address - Fax:812-663-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty