Provider Demographics
NPI:1639211816
Name:TAUBE, JANE E (DDS)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:TAUBE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N MERIDIAN ST
Mailing Address - Street 2:SUITE 808
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1719
Mailing Address - Country:US
Mailing Address - Phone:317-632-6258
Mailing Address - Fax:
Practice Address - Street 1:320 N MERIDIAN ST
Practice Address - Street 2:SUITE 808
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1719
Practice Address - Country:US
Practice Address - Phone:317-632-6258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007529B1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice