Provider Demographics
NPI:1457008351
Name:LOUIS PLUMLEE DDS
Entity Type:Organization
Organization Name:LOUIS PLUMLEE DDS
Other - Org Name:PLUMLEE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:PLUMLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:574-936-3505
Mailing Address - Street 1:1400 N OAK DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-3403
Mailing Address - Country:US
Mailing Address - Phone:574-936-3505
Mailing Address - Fax:574-936-1023
Practice Address - Street 1:1400 N OAK DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-3403
Practice Address - Country:US
Practice Address - Phone:574-936-3505
Practice Address - Fax:574-936-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
1568035558OtherNPI